Dynamic Acupuncture and Wellness

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

DYNAMIC ACUPUNCTURE AND WELLNESS

Practice address

133 Hillside Ave
Cresskill, NJ 07626-1634

Phone

(201) 870-1180

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Une Song, L.AC., DIPL. OMNPI 1083942874

Title

Owner

Phone

(201) 870-1180

Specialties & licenses 1

Addresses

Practitioners 1

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

• Une Ho Song, L.AC. DIPL.O.M.

  • Acupuncturist
  • Cresskill, NJ
  • NPI 1083942874
  NPD Authorized official

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1811558166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HILLSIDE AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261634",
            "telephone_number": "201-870-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HILLSIDE AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261634",
            "telephone_number": "201-870-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ACUPUNCTURE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "UNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-870-1180",
        "authorized_official_credential": "L.AC., DIPL. OM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Leigh Deptuch, APN
• Jose Diaz
• Demetri Dimitriadis, PT, DPT
• Vincent Gary Dipersia, DPT
• Doctor'S Medical Express
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• Allison Egert, SLP
• Neil Alan Eisler, DMD
• Ashley Elia, DVM
• Jaime B Elia, DVM

• Acupuncturist in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.