Active NPI
Seung Jin NA, P.T.
- Physical Therapist
- Cherry Hill, NJ
National Provider Identifier
1780977124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030968
- Practice address
- 15 Burnt Mill Rd
Cherry Hill, NJ 08003 - Phone
- (856) 375-8739
- NPI assigned
- May 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 030968 | NY | Primary |
| Physical Therapist | 225100000X | PT021235 | PA |
Addresses
Primary practice location
15 Burnt Mill Rd
Cherry Hill, NJ 08003
Mailing address
15 Burnt Mill Rd
Cherry Hill, NJ 08003
Phone (856) 375-8739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021235 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1780977124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BURNT MILL RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08003",
"telephone_number": "856-375-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 BURNT MILL RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08003",
"telephone_number": "856-375-8739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NA",
"first_name": "SEUNG JIN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030968",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021235",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.