Individual provider Active NPI

Francesca Kim, L.AC. MSTOM, COS

  • Acupuncturist
  • Cliffside Park, NJ
National Provider Identifier
1801230800
Registry record updated Apr 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25-MZ0092600 Issued in NJ
Practice address
608 Anderson Ave
Cliffside Park, NJ 07010-1858
Phone
(917) 617-3948
NPI assigned
Apr 20, 2013
Last updated
Apr 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25-MZ0092600 NJ Primary

Addresses

Primary practice location

608 Anderson Ave
Cliffside Park, NJ 07010-1858

Mailing address

608 Anderson Ave
Cliffside Park, NJ 07010-1858
Phone (917) 617-3948

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

LicenseStateTypeSpecialty
25-MZ0092600NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366416000000",
    "number": "1801230800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101858",
            "telephone_number": "917-617-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101858",
            "telephone_number": "917-617-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "FRANCESCA",
        "name_prefix": "Mrs.",
        "credential": "L.AC. MSTOM, COS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-20",
        "last_updated": "2013-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25-MZ0092600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; 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.