Organization Active NPI

JNR Acupuncture, P.C.

  • Pain Clinic/Center
  • Flushing, NY
National Provider Identifier
1912291949
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
1213 Issued in NY
Legal business name
JNR ACUPUNCTURE, P.C.
Practice address
15301 Northern Blvd Ste 2G
Flushing, NY 11354-5038
Phone
(718) 888-1641
Fax
(718) 888-2514
NPI assigned
Jun 7, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Jong Won Yom, D.C., L.AC., R.PH.
Title
President
Phone
(718) 888-1641

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 4025 NY
Pain Clinic/Center 261QP3300X 1213 NY Primary

Addresses

Primary practice location

15301 Northern Blvd Ste 2G
Flushing, NY 11354-5038

Mailing address

15301 Northern Blvd Ste 2G
Flushing, NY 11354-5038
Phone (718) 888-1641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1912291949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD STE 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545038",
            "telephone_number": "718-888-1641",
            "fax_number": "718-888-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD STE 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545038",
            "telephone_number": "718-888-1641",
            "fax_number": "718-888-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNR ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "YOM",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-1641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC., R.PH."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "4025",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "1213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.