Active NPI
JNR Acupuncture, P.C.
- Pain Clinic/Center
- Flushing, NY
National Provider Identifier
1912291949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 1213
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.