Hyun Dong Ahn

Individual provider Active NPI Acupuncturist · Hackensack, NJ

NPI 1720685274 · NPPES record last updated Oct 7, 2020

Key facts

NPI
1720685274
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
6766 (NY)
Practice address
300 Park St Apt 4a
Hackensack, NJ 07601-4346
Phone
(201) 494-7532
NPI assigned
Oct 7, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6766NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Yeah Group LLC Acupuncturist Current Accepting new patients
Anti-Aging Group LLC Current
since May 16, 2021
Accepting new patients

Locations

129 W 27th St
Ste 801
New York, NY 10001
Phone (212) 286-9800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 6766 NY Yes

Addresses

Primary practice location

300 Park St Apt 4a
Hackensack, NJ 07601-4346

Mailing address

300 Park St Apt 4a
Hackensack, NJ 07601-4346
Phone (201) 494-7532

Other providers in Hackensack, NJ

All providers in Hackensack, NJ · Acupuncturist in New Jersey

Sources for this page

Verify at the official NPI Registry.