Dong Jin Kim, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00090100 Issued in NJ

Practice address

18 Sycamore Ave
Suite 2
Ho Ho Kus, NJ 07423-1582

Phone

(201) 857-0888

NPI assigned

Nov 14, 2011

Last updated

Jun 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Don Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Body Health, LLC

  dba Don Kim Acupuncture

  • Acupuncturist
  • Ho Ho Kus, NJ
  • NPI 1306228820
  Authorized official Same address or phone

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1881971281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE",
            "address_2": "SUITE 2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231582",
            "telephone_number": "201-857-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE",
            "address_2": "SUITE 2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231582",
            "telephone_number": "201-857-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONG JIN",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004661",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00090100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DON",
            "last_name": "KIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hailey Kaiser
• Michelle Estilo Kaiser, MD
• Kali Roy a Eklof PHD PA
• Thomas Edward Kavanagh, PSY.D.
• Mary Ann Kezmarsky, PH.D.
• Junhyck Kim, D.D.S.
• Nayoung Kim, LAC
• Sora Kim
• Michael W. Klotz, D.M.D., M.DENT.SC.
• Alexandria Knapp, PT, DPT

• Acupuncturist in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.