Organization Active NPI

Bravo Wellness Acupuncture PC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1780008409
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005000 Issued in NY
Legal business name
BRAVO WELLNESS ACUPUNCTURE PC
Practice address
800 2ND Ave RM 806
New York, NY 10017-9223
Phone
(212) 370-7800
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Sung M Jung
Title
Owner
Phone
(201) 937-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 005000 NY Primary

Addresses

Primary practice location

800 2ND Ave RM 806
New York, NY 10017-9223

Mailing address

800 2ND Ave RM 806
New York, NY 10017-9223
Phone (212) 370-7800

National Provider Directory

National Provider Directory

Locations

800 2nd Ave
Rm 806
New York, NY 10017
Phone (201) 466-2046

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1780008409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 2ND AVE RM 806",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179223",
            "telephone_number": "212-370-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 2ND AVE RM 806",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179223",
            "telephone_number": "212-370-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO WELLNESS ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-937-1551"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.