Individual provider Active NPI

Chang Joon Won

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1922425131
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005242 Issued in NY
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

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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 PastSince Apr 11, 2014 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.