Active NPI
Sangwoo Kim
- Acupuncturist
- Edison, NJ
National Provider Identifier
1932373776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- MZ000190
- Practice address
- 1939 State Hwy 27
Edison, NJ 08817 - Phone
- (732) 248-1980
- Fax
- (732) 248-1982
- NPI assigned
- Apr 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | MZ000190 | NJ | Primary |
| Acupuncturist | 171100000X | NY001459 | NY |
Addresses
Primary practice location
1939 State Hwy 27
Edison, NJ 08817
Mailing address
12 Bermuda Dunes Dr
Monroe, NJ 08831-5125
Phone (732) 656-7661
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MZ000190 | NJ | MD | Acupuncturist |
| NY001459 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1932373776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BERMUDA DUNES DR",
"city": "MONROE",
"state": "NJ",
"postal_code": "088315125",
"telephone_number": "732-656-7661",
"fax_number": "732-248-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 STATE HWY 27",
"city": "EDISON",
"state": "NJ",
"postal_code": "08817",
"telephone_number": "732-248-1980",
"fax_number": "732-248-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SANGWOO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "MZ000190",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "NY001459",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.