Active NPIIndividual providerSole proprietor

Jina Seo, LAC

Acupuncturist in Fort Lee, New Jersey

NPI Number1114612769
Practice location
1605 Center Ave, Fort Lee, NJ 07024-4701
Fax
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Last updated
April 10, 2023

Jina Seo is an Acupuncturist based in Fort Lee, NJ. Jina Seo practices in Fort Lee, NJ and has the professional credentials of LAC. The NPI Number for Jina Seo is 1114612769 and holds a License No. 25MZ00165600 (NJ). The current practice location address for Jina Seo is 1605 Center Ave, Fort Lee, NJ 07024-4701 and can be reached out via phone at 201-461-0949.

Provider Profile Details

NPI Number
1114612769
Provider Name
Jina Seo
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
1605 Center Ave, Fort Lee, NJ 07024-4701
Phone Number
201-461-0949
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2023
Last Update Date
April 10, 2023
Certification Date
April 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1605 Center Ave
Fort Lee, NJ 07024-4701
Zip
07024-4701
Phone Number
201-461-0949
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
1605 Center Ave
Fort Lee, NJ 07024-4701
City
Fort Lee
State
NJ
Zip
07024-4701
Phone Number
201-461-0949

License Information

License Number
25MZ00165600
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 Jina Seo, LAC?

The NPI number of Jina Seo, LAC is 1114612769. It was assigned on April 10, 2023 and is currently active in the NPPES registry.

What is the specialty of Jina Seo, LAC?

Jina Seo, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00165600.

Where does Jina Seo, LAC practice?

The practice location is 1605 Center Ave, Fort Lee, NJ 07024-4701. The office can be reached at 201-461-0949 (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 1114612769 directly on the NPPES registry website.

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