Acupuncture at the Pavilion, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ACUPUNCTURE AT THE PAVILION, LLC

Practice address

261 Old York Rd Ste 333
Jenkintown, PA 19046-3710

Phone

(215) 887-3712

Fax

(215) 893-5366

NPI assigned

Jun 27, 2022

Last updated

Oct 10, 2022By 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

Kyung Yun ShumakerNPI 1588947774

Title

Owner/President

Phone

(215) 635-6549

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyung Yun Shumaker, LIC ACUPUNCTURIST

  • Acupuncturist
  • Jenkintown, PA
  • NPI 1588947774
  NPD Authorized official
• Kay Ann Scanlon, PT,DPT,OCS, DIP MDT

  • Orthopedic Physical Therapist
  • Jenkintown, PA
  • NPI 1770581068
  NPD (past)

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1912639121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 333",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463710",
            "telephone_number": "215-635-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 333",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463710",
            "telephone_number": "215-887-3712",
            "fax_number": "215-893-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE AT THE PAVILION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "SHUMAKER",
        "authorized_official_first_name": "KYUNG YUN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "215-635-6549"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.