Active NPIOrganization

Pine Acupuncture & Herbal Medicine Clinic

Health Maintenance Organization in Fort Lee, New Jersey

NPI Number1205160579
Practice location
166 Main St, #2b, Fort Lee, NJ 07024-6922
Fax
—
Last updated
September 19, 2009

Pine Acupuncture & Herbal Medicine Clinic is a healthcare organization based in Fort Lee, NJ. Pine Acupuncture & Herbal Medicine Clinic practices in Fort Lee, NJ. The NPI Number for Pine Acupuncture & Herbal Medicine Clinic is 1205160579 and holds a License No. MZ00016800 (NJ). The current practice location address for Pine Acupuncture & Herbal Medicine Clinic is 166 Main St, #2b, Fort Lee, NJ 07024-6922 and can be reached out via phone at 201-585-8285.

Provider Profile Details

NPI Number
1205160579
Provider Name
Pine Acupuncture & Herbal Medicine Clinic
Provider Entity Type
Organization
Address
166 Main St, #2b, Fort Lee, NJ 07024-6922
Phone Number
201-585-8285
Primary Taxonomy
Health Maintenance Organization · 302R00000X
Organization Subpart
No
Authorized Official
Doam Kim · Owner · 201-585-8285
Provider Enumeration Date
September 19, 2009
Last Update Date
September 19, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Main St
#2b
Fort Lee, NJ 07024-6922
Zip
07024-6922
Phone Number
201-585-8285
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
166 Main St
#2b
Fort Lee, NJ 07024-6922
City
Fort Lee
State
NJ
Zip
07024-6922
Phone Number
201-585-8285

License Information

License Number
MZ00016800
License State
NJ
Taxonomy
Health Maintenance Organization · 302R00000X · 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 Pine Acupuncture & Herbal Medicine Clinic?

The NPI number of Pine Acupuncture & Herbal Medicine Clinic is 1205160579. It was assigned on September 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Pine Acupuncture & Herbal Medicine Clinic?

Pine Acupuncture & Herbal Medicine Clinic is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X), licensed in NJ under license number MZ00016800.

Where does Pine Acupuncture & Herbal Medicine Clinic practice?

The practice location is 166 Main St, #2b, Fort Lee, NJ 07024-6922. The office can be reached at 201-585-8285 (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 1205160579 directly on the NPPES registry website.

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