Jong Sik Han, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004192 Issued in NY

Practice address

4 Weber Ave
Malverne, NY 11565-1742

Phone

(516) 612-3946

Fax

(516) 887-8106

NPI assigned

Nov 20, 2009

Last updated

Nov 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1972831485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEBER AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651742",
            "telephone_number": "516-612-3946",
            "fax_number": "516-887-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEBER AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651742",
            "telephone_number": "516-612-3946",
            "fax_number": "516-887-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JONG",
        "middle_name": "SIK",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penina Esther Gourdji, BCBA, LBA NYS
• Karen Sue Greenfield, PT
• Kimberly Greenidge, BCBA, LBA
• Anna Maria Guadagnoli, M.S.
• Susan Elizabeth Halley
• Aricha Harker-Mayo, MS, RD, CDN
• Anne Hawkins
• Andrew Joseph Heiss
• Keith Joseph Hoerlein, RPH
• Elizabeth K Hoistad, P.T.

• Acupuncturist in Malverne, NY
• Providers in Malverne, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.