Active NPIIndividual provider

Sangrok Moon, DC, LAC

Acupuncturist in Fort Lee, New Jersey

NPI Number1184988107
Practice location
2460 Lemoine Ave Ste 203, Fort Lee, NJ 07024-6210
Fax
201-351-4787
Last updated
December 9, 2020

Sangrok Moon is an Acupuncturist based in Fort Lee, NJ. Sangrok Moon practices in Fort Lee, NJ and has the professional credentials of DC, LAC. The NPI Number for Sangrok Moon is 1184988107 and holds a License No. 38MC00648800 (NJ). The current practice location address for Sangrok Moon is 2460 Lemoine Ave Ste 203, Fort Lee, NJ 07024-6210 and can be reached out via phone at 201-559-5307 and via fax at 201-351-4787.

Provider Profile Details

NPI Number
1184988107
Provider Name
Sangrok Moon
Credential
DC, LAC
Provider Entity Type
Individual
Gender
Male
Address
2460 Lemoine Ave Ste 203, Fort Lee, NJ 07024-6210
Phone Number
201-559-5307
Fax Number
201-351-4787
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2012
Last Update Date
December 9, 2020
Certification Date
December 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2460 Lemoine Ave Ste 203
Fort Lee, NJ 07024-6210
Zip
07024-6210
Phone Number
201-559-5307
Fax Number
201-351-4787
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2460 Lemoine Ave Ste 203
Fort Lee, NJ 07024-6210
City
Fort Lee
State
NJ
Zip
07024-6210
Phone Number
201-559-5307
Fax Number
201-351-4787

License Information

License Number (1)
38MC00648800
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
25MZ00081300
License State (2)
NJ
Taxonomy (2)
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 Sangrok Moon, DC, LAC?

The NPI number of Sangrok Moon, DC, LAC is 1184988107. It was assigned on June 25, 2012 and is currently active in the NPPES registry.

What is the specialty of Sangrok Moon, DC, LAC?

Sangrok Moon, DC, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 38MC00648800.

Where does Sangrok Moon, DC, LAC practice?

The practice location is 2460 Lemoine Ave Ste 203, Fort Lee, NJ 07024-6210. The office can be reached at 201-559-5307 (phone) or 201-351-4787 (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 1184988107 directly on the NPPES registry website.

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