Active NPI
Chang Joon Won
- Acupuncturist
- Flushing, NY
National Provider Identifier
1922425131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005242
- Practice address
- 3622 Parsons Blvd
Flushing, NY 11354 - Phone
- (917) 563-5820
- Fax
- (917) 563-5819
- NPI assigned
- Mar 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005242 | NY | Primary |
Addresses
Primary practice location
3622 Parsons Blvd
Flushing, NY 11354
Mailing address
300 Winston Dr
Apt 2112
Cliffside Park, NJ 07010-3225
Phone (917) 407-5982
Other practice location 1
849 57th Street
Suite 802
Brooklyn, NY 11220
Phone (917) 407-5982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dodam Acupuncture P.C | Acupuncturist | Current | Accepting new patients |
| Dodam Acupuncture and Physical Therapy PLLC | Current | Accepting new patients | |
| Life Synergy Physical Therapy P C | Past | Accepting new patients | |
| Joon Acupuncture P.C | Acupuncturist | Past | Accepting new patients |
Locations
3622 Parsons Blvd
Flushing, NY 11354
Phone (917) 563-5820
3622 Parsons Blvd
Fl 1
Flushing, NY 11354
Interoperability endpoints
- joonacupuncture.changwon@148012.advancedmd-direct.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Brooklyn, NY
- NPI 1063906378
-
- Acupuncturist
- Brooklyn, NY
- NPI 1700203924
-
- Pain Clinic/Center
- Flushing, NY
- NPI 1528898574
-
- Physical Therapy Clinic/Center
- Flushing, NY
- NPI 1508283987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1922425131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WINSTON DR",
"address_2": "APT 2112",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103225",
"telephone_number": "917-407-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 PARSONS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "917-563-5820",
"fax_number": "917-563-5819"
}
],
"practiceLocations": [
{
"address_1": "849 57th Street",
"address_2": "Suite 802",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11220",
"country_code": "US",
"telephone_number": "917-407-5982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WON",
"first_name": "CHANG JOON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-25",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005242",
"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 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.