Organization Active NPI

Moonlight Acupuncture P.C.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1801439757
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MOONLIGHT ACUPUNCTURE P.C.
Practice address
315 Madison Ave RM 702
New York, NY 10017-5434
Phone
(201) 363-0233
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Ji Kim
Title
Owner
Phone
(201) 363-0233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

315 Madison Ave RM 702
New York, NY 10017-5434

Mailing address

2500 Lemoine Ave Ste 301
Fort Lee, NJ 07024-6205
Phone (201) 363-0233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1801439757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE STE 301",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246205",
            "telephone_number": "201-363-0233",
            "fax_number": "201-363-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE RM 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175434",
            "telephone_number": "201-363-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-363-0233"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 Oct 23, 2019; 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.