Organization Active NPI

Sungsim Acupuncture LLC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1790152122
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005470 Issued in NY
Legal business name
SUNGSIM ACUPUNCTURE LLC
Practice address
4470 Broadway Ste 2
New York, NY 10040-2669
Phone
(212) 567-5891
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Chris BaeNPI 1083081947
Title
President
Phone
(212) 567-5891

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 005470 NY Primary

Addresses

Primary practice location

4470 Broadway Ste 2
New York, NY 10040-2669

Mailing address

4470 Broadway Ste 2
New York, NY 10040-2669
Phone (212) 567-5891

National Provider Directory

National Provider Directory

Locations

4470 Broadway
Ste 2
New York, NY 10040
Phone (212) 567-5891

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": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1790152122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 BROADWAY STE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402669",
            "telephone_number": "212-567-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 BROADWAY STE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402669",
            "telephone_number": "212-567-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGSIM ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-567-5891",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005470",
            "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 Sep 2, 2015; 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.