Individual provider Active NPI

Jaeyoung Kleinfeld, L.AC

  • Acupuncturist
  • Cliffside Park, NJ
National Provider Identifier
1700505344
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00162200 Issued in NJ
Practice address
555 Gorge Rd Apt 6H
Cliffside Park, NJ 07010-2240
Phone
(201) 937-2204
NPI assigned
Aug 25, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00162200 NJ Primary

Addresses

Primary practice location

555 Gorge Rd Apt 6H
Cliffside Park, NJ 07010-2240

Mailing address

555 Gorge Rd Apt 6H
Cliffside Park, NJ 07010-2240
Phone (201) 937-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00162200NJMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1700505344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 GORGE RD APT 6H",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102240",
            "telephone_number": "201-937-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 GORGE RD APT 6H",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102240",
            "telephone_number": "201-937-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINFELD",
        "first_name": "JAEYOUNG",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00162200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.