Organization Active NPI

NJ Jindo Acupuncture

  • Acupuncturist
  • Palisades Park, NJ
National Provider Identifier
1851158620
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
NJ JINDO ACUPUNCTURE
Practice address
440 Broad Ave # 2B
Palisades Park, NJ 07650-1631
Phone
(201) 304-7027
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Eun Young NANPI 1396240636
Title
Manager
Phone
(718) 865-6628

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

440 Broad Ave # 2B
Palisades Park, NJ 07650-1631

Mailing address

440 Broad Ave # 2B
Palisades Park, NJ 07650-1631
Phone (201) 304-7027

National Provider Directory

National Provider Directory

Locations

440 Broad Ave
#2B
Palisades Park, NJ 07650
Phone (201) 304-7027

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": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1851158620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BROAD AVE # 2B",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501631",
            "telephone_number": "201-304-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BROAD AVE # 2B",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501631",
            "telephone_number": "201-304-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ JINDO ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "NA",
        "authorized_official_first_name": "EUN YOUNG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-865-6628"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.