Active NPIIndividual providerSole proprietor

Jungyup Song

Acupuncturist in Oradell, New Jersey

NPI Number1215382916
Practice location
30 Kinderkamack RD Fl 2, Oradell, NJ 07649-2615
Fax
—
Last updated
April 15, 2019

Jungyup Song is an Acupuncturist based in Oradell, NJ. Jungyup Song practices in Oradell, NJ. The NPI Number for Jungyup Song is 1215382916 and holds a License No. 14986 (CA). The current practice location address for Jungyup Song is 30 Kinderkamack RD Fl 2, Oradell, NJ 07649-2615 and can be reached out via phone at 201-265-2600.

Provider Profile Details

NPI Number
1215382916
Provider Name
Jungyup Song
Provider Entity Type
Individual
Gender
Male
Address
30 Kinderkamack RD Fl 2, Oradell, NJ 07649-2615
Phone Number
201-265-2600
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 30, 2016
Last Update Date
April 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Kinderkamack RD Fl 2
Oradell, NJ 07649-2615
Zip
07649-2615
Phone Number
201-265-2600
Oradell, NJ 07649Get directions →

Provider Business Mailing Address Details

Address
30 Kinderkamack RD Fl 2
Oradell, NJ 07649-2615
City
Oradell
State
NJ
Zip
07649-2615
Phone Number
201-265-2600

License Information

License Number (1)
14986
License State (1)
CA
Taxonomy (1)
Acupuncturist · 171100000X
License Number (2)
004738
License State (2)
NY
Taxonomy (2)
Acupuncturist · 171100000X
License Number (3)
25MZ00118700
License State (3)
NJ
Taxonomy (3)
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 Jungyup Song?

The NPI number of Jungyup Song is 1215382916. It was assigned on April 30, 2016 and is currently active in the NPPES registry.

What is the specialty of Jungyup Song?

Jungyup Song is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in CA under license number 14986.

Where does Jungyup Song practice?

The practice location is 30 Kinderkamack RD Fl 2, Oradell, NJ 07649-2615. The office can be reached at 201-265-2600 (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 1215382916 directly on the NPPES registry website.

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