Simple Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00043100 Issued in NJ

Legal business name

SIMPLE ACUPUNCTURE LLC

Practice address

120 County Rd
Suite 102
Tenafly, NJ 07670-1854

Phone

(201) 768-0255

NPI assigned

Jan 13, 2016

Last updated

Jan 13, 2016By 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

Mr. Jun S Kim, LAC.

Title

Owner

Phone

(201) 768-0255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1942666417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 COUNTY RD",
            "address_2": "SUITE 102",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701854",
            "telephone_number": "201-768-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COUNTY RD",
            "address_2": "SUITE 102",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701854",
            "telephone_number": "201-768-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-768-0255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00043100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.