Organization Active NPI

Song Family Acupuncture LLC

Doing business as Grand Acupuncture and Herbs

  • Acupuncturist
  • Oradell, NJ
National Provider Identifier
1992547319
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SONG FAMILY ACUPUNCTURE LLC
Doing business as
Grand Acupuncture and Herbs
Practice address
30 Kinderkamack Rd Ste 2
Oradell, NJ 07649-2664
Phone
(201) 554-5559
NPI assigned
Jun 7, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Mr. Myungseok Song, L.AC.NPI 1801298328
Title
Ceo
Phone
(201) 554-5559

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

30 Kinderkamack Rd Ste 2
Oradell, NJ 07649-2664

Mailing address

30 Kinderkamack Rd Ste 2
Oradell, NJ 07649-2664
Phone (201) 554-5559

Other names 1

  • Grand Acupuncture and Herbs Doing business as

National Provider Directory

National Provider Directory

Locations

30 Kinderkamack Rd
Ste 2
Oradell, NJ 07649
Phone (201) 265-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1992547319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KINDERKAMACK RD STE 2",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492664",
            "telephone_number": "201-554-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KINDERKAMACK RD STE 2",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492664",
            "telephone_number": "201-554-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG FAMILY ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "MYUNGSEOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-554-5559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Acupuncture and Herbs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.