Dy Acupuncture Clinic, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25MZ00045000 Issued in NJ

Legal business name

DY ACUPUNCTURE CLINIC, INC

Practice address

2500 Lemoine Ave
Suite 301
Fort Lee, NJ 07024-6232

Phone

(201) 363-0233

Fax

(201) 363-0244

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Ji Kim

Title

President

Phone

(201) 363-0233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1710207667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE",
            "address_2": "SUITE 301",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246232",
            "telephone_number": "201-363-0233",
            "fax_number": "201-363-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE",
            "address_2": "SUITE 301",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246232",
            "telephone_number": "201-363-0233",
            "fax_number": "201-363-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DY ACUPUNCTURE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-363-0233"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MZ00045000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.