MJ Natural Wellness LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00046000 Issued in NJ

Legal business name

MJ NATURAL WELLNESS LLC

Practice address

436 Main Ave
Wallington, NJ 07057-1830

Phone

(917) 609-3281

NPI assigned

May 3, 2011

Last updated

May 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dohyun Kim, L.AC.

Title

President

Phone

(917) 609-3281

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1841582277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PORTSIDE DR",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201168",
            "telephone_number": "917-609-3281",
            "fax_number": "201-224-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 MAIN AVE",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571830",
            "telephone_number": "917-609-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ NATURAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOHYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-609-3281",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00046000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ewa Matuszkiewicz
• Steven Walter Miller, PTA
• Talya Miller
• Miroslawa M. Parfomak, DDS LLC
• Selma Desiree Mizrak
• Michael Christopher Molloy, MSW, LCSW
• Stacy M Montalto, BCBA
• Ogonna Myrie
• Thomas David Nieradka, D.C.
• Ewa Marcinkiewicz Obrien, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.