Active NPIIndividual providerSole proprietor

Daehwan Ji, LAC

Acupuncturist in Palisades Park, New Jersey

NPI Number1063824290
Practice location
460 Bergen Blvd Suite #304, Palisades Park, NJ 07650
Fax
201-461-7122
Last updated
May 22, 2014

Daehwan Ji is an Acupuncturist based in Palisades Park, NJ. Daehwan Ji practices in Palisades Park, NJ and has the professional credentials of LAC. The NPI Number for Daehwan Ji is 1063824290 and holds a License No. 25MZ00075000 (NJ). The current practice location address for Daehwan Ji is 460 Bergen Blvd Suite #304, Palisades Park, NJ 07650 and can be reached out via phone at 201-469-6899 and via fax at 201-461-7122.

Provider Profile Details

NPI Number
1063824290
Provider Name
Daehwan Ji
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
460 Bergen Blvd Suite #304, Palisades Park, NJ 07650
Phone Number
201-469-6899
Fax Number
201-461-7122
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 22, 2014
Last Update Date
May 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Bergen Blvd Suite #304
Palisades Park, NJ 07650
Zip
07650
Phone Number
201-469-6899
Fax Number
201-461-7122
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
460 Bergen Blvd Ste 304
Palisades Park, NJ 07650-2345
City
Palisades Park
State
NJ
Zip
07650-2345
Phone Number
201-469-6899
Fax Number
201-461-7122

License Information

License Number
25MZ00075000
License State
NJ
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Acupuncturists near Palisades Park, NJ

View all Acupuncturists in Palisades Park →

Frequently Asked Questions

What is the NPI number of Daehwan Ji, LAC?

The NPI number of Daehwan Ji, LAC is 1063824290. It was assigned on May 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Daehwan Ji, LAC?

Daehwan Ji, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00075000.

Where does Daehwan Ji, LAC practice?

The practice location is 460 Bergen Blvd Suite #304, Palisades Park, NJ 07650. The office can be reached at 201-469-6899 (phone) or 201-461-7122 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063824290 directly on the NPPES registry website.

Browse related providers