Organization Active NPI

Daeyon Theratopia Acupuncture LLC

  • Acupuncturist
  • Fort Lee, NJ
National Provider Identifier
1790508463
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DAEYON THERATOPIA ACUPUNCTURE LLC
Practice address
2500 Lemoine Ave Ste 303
Fort Lee, NJ 07024-6243
Phone
(646) 300-5990
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Mikyung LeeNPI 1326791955
Title
Provider
Phone
(646) 300-5990

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 Primary

Addresses

Primary practice location

2500 Lemoine Ave Ste 303
Fort Lee, NJ 07024-6243

Mailing address

2500 Lemoine Ave Ste 303
Fort Lee, NJ 07024-6243
Phone (646) 300-5990

National Provider Directory

National Provider Directory

Locations

2500 Lemoine Ave
Ste 303
Fort Lee, NJ 07024
Phone (201) 363-0233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1790508463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE STE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246243",
            "telephone_number": "646-300-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE STE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246243",
            "telephone_number": "646-300-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAEYON THERATOPIA ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIKYUNG",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "646-300-5990"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.