Organization Active NPI

Family Acupuncture Clinic

  • Pain Clinic/Center
  • Guttenberg, NJ
National Provider Identifier
1780089763
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
25MZ00048200 Issued in NJ
Legal business name
FAMILY ACUPUNCTURE CLINIC
Practice address
437 69TH St
Guttenberg, NJ 07093-2413
Phone
(201) 868-4400
NPI assigned
Nov 3, 2014
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Young K LeeNPI 1144625120
Title
President
Phone
(201) 868-4400

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 25MZ00048200 NJ Primary

Addresses

Primary practice location

437 69TH St
Guttenberg, NJ 07093-2413

Mailing address

437 69TH St
Guttenberg, NJ 07093-2413
Phone (201) 868-4400

National Provider Directory

National Provider Directory

Locations

437 69th St
Guttenberg, NJ 07093
Phone (201) 868-4400

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": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1780089763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 69TH ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070932413",
            "telephone_number": "201-868-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 69TH ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070932413",
            "telephone_number": "201-868-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-868-4400"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MZ00048200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.