NPIMap

Organization Active NPI

Young Ji Acupuncture Clinic

  • Pain Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1710453808
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
YOUNG JI ACUPUNCTURE CLINIC
Practice address
3459 Saint Johns LN Ste 9
Ellicott City, MD 21042-4026
Phone
(703) 505-7387
NPI assigned
Oct 16, 2018
Last updated
Oct 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dr. Young Ae Ji, PHDNPI 1467891218
Title
Owner
Phone
(703) 505-7387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

3459 Saint Johns LN Ste 9
Ellicott City, MD 21042-4026

Mailing address

12921 Old Columbia Pike
Silver Spring, MD 20904-5225
Phone (703) 505-7387

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1710453808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 OLD COLUMBIA PIKE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045225",
            "telephone_number": "703-505-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 SAINT JOHNS LN STE 9",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424026",
            "telephone_number": "703-505-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG JI ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "JI",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "AE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-505-7387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.