Organization Active NPI

Super Acucare in Philly, Inc

  • Acupuncturist
  • Philadelphia, PA
National Provider Identifier
1962183111
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SUPER ACUCARE IN PHILLY, INC
Practice address
46 N 10TH St FL 1
Philadelphia, PA 19107-3005
Phone
(609) 510-8868
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Mr. Hongdar CHI, ACUPUNCTURISTNPI 1790342665
Title
President
Phone
(609) 510-8868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

46 N 10TH St FL 1
Philadelphia, PA 19107-3005

Mailing address

46 N 10TH St FL 1
Philadelphia, PA 19107-3005
Phone (215) 592-0255

Other names 1

  • Super Acucare Doing business as

National Provider Directory

National Provider Directory

Locations

46 N 10th St
Fl 1
Philadelphia, PA 19107
Phone (215) 592-0255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1962183111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N 10TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073005",
            "telephone_number": "215-592-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N 10TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073005",
            "telephone_number": "609-510-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER ACUCARE IN PHILLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "HONGDAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-510-8868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Acucare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Super Acucare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.