Active NPIIndividual providerSole proprietor

Ms. Young Sun Moon, LAC

Acupuncturist in Hawthorne, New Jersey

NPI Number1073822078
Practice location
344 Lincoln Ave # Rr, Hawthorne, NJ 07506-1258
Fax
—
Last updated
April 12, 2022

Young Sun Moon is an Acupuncturist based in Hawthorne, NJ. Young Sun Moon practices in Hawthorne, NJ and has the professional credentials of LAC. The NPI Number for Young Sun Moon is 1073822078 and holds a License No. 25mz00070900 (NJ). The current practice location address for Young Sun Moon is 344 Lincoln Ave # Rr, Hawthorne, NJ 07506-1258 and can be reached out via phone at 201-503-5888.

Provider Profile Details

NPI Number
1073822078
Provider Name
Young Sun Moon
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
344 Lincoln Ave # Rr, Hawthorne, NJ 07506-1258
Phone Number
201-503-5888
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 25, 2010
Last Update Date
April 12, 2022
Certification Date
April 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
344 Lincoln Ave # Rr
Hawthorne, NJ 07506-1258
Zip
07506-1258
Phone Number
201-503-5888
Hawthorne, NJ 07506Get directions →

Provider Business Mailing Address Details

Address
410 Park Pl Apt 1A
Fort Lee, NJ 07024-3705
City
Fort Lee
State
NJ
Zip
07024-3705
Phone Number
201-982-0615

License Information

License Number
25mz00070900
License State
NJ
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Ms. Young Sun Moon, LAC?

The NPI number of Ms. Young Sun Moon, LAC is 1073822078. It was assigned on September 25, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Young Sun Moon, LAC?

Ms. Young Sun Moon, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25mz00070900.

Where does Ms. Young Sun Moon, LAC practice?

The practice location is 344 Lincoln Ave # Rr, Hawthorne, NJ 07506-1258. The office can be reached at 201-503-5888 (phone).

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 1073822078 directly on the NPPES registry website.

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