Individual provider Active NPI

Sung Mun Jung, L.AC

  • Acupuncturist
  • Englewood Cliffs, NJ
National Provider Identifier
1972804128
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00056500 Issued in NJ
Practice address
6 Sylvan Ave
Suite C
Englewood Cliffs, NJ 07632
Phone
(201) 937-1551
Fax
(646) 478-9778
NPI assigned
Nov 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00056500 NJ Primary
Acupuncturist 171100000X 003305 NY

Addresses

Primary practice location

6 Sylvan Ave
Suite C
Englewood Cliffs, NJ 07632

Mailing address

71 5TH St
Cresskill, NJ 07626-2501
Phone (215) 307-0038

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

LicenseStateTypeSpecialty
25MZ00056500NJMDAcupuncturist
003305NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Acupuncture Wellness PC Acupuncturist Current Accepting new patients
Bloom Acupuncture Wellness PC Acupuncturist Current Accepting new patients
Bliss Acupuncture Clinic Acupuncturist Past Accepting new patients
Blink Acupuncture Wellness Clinic PC Acupuncturist Past Accepting new patients

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1972804128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 5TH ST",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262501",
            "telephone_number": "215-307-0038",
            "fax_number": "646-478-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SYLVAN AVE",
            "address_2": "SUITE C",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-937-1551",
            "fax_number": "646-478-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SUNG MUN",
        "name_prefix": "Dr.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00056500",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.