Active NPIIndividual provider

Jung Yoon Back, LAC

Acupuncturist in Fair Lawn, New Jersey

NPI Number1336739796
Practice location
22-05 Maple Ave, Fair Lawn, NJ 07410-1525
Fax
—
Last updated
November 29, 2024

Jung Yoon Back is an Acupuncturist based in Fair Lawn, NJ. Jung Yoon Back practices in Fair Lawn, NJ and has the professional credentials of LAC. The NPI Number for Jung Yoon Back is 1336739796 and holds a License No. 25MZ00151200 (NJ). The current practice location address for Jung Yoon Back is 22-05 Maple Ave, Fair Lawn, NJ 07410-1525 and can be reached out via phone at 201-981-8810.

Provider Profile Details

NPI Number
1336739796
Provider Name
Jung Yoon Back
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
22-05 Maple Ave, Fair Lawn, NJ 07410-1525
Phone Number
201-981-8810
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
January 20, 2021
Last Update Date
November 29, 2024
Certification Date
November 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-05 Maple Ave
Fair Lawn, NJ 07410-1525
Zip
07410-1525
Phone Number
201-981-8810
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
54 Fairview Ave
Bogota, NJ 07603-1808
City
Bogota
State
NJ
Zip
07603-1808
Phone Number
201-981-8810

License Information

License Number
25MZ00151200
License State
NJ
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

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

Other Acupuncturists near Fair Lawn, NJ

View all Acupuncturists in Fair Lawn →

Frequently Asked Questions

What is the NPI number of Jung Yoon Back, LAC?

The NPI number of Jung Yoon Back, LAC is 1336739796. It was assigned on January 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Jung Yoon Back, LAC?

Jung Yoon Back, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00151200.

Where does Jung Yoon Back, LAC practice?

The practice location is 22-05 Maple Ave, Fair Lawn, NJ 07410-1525. The office can be reached at 201-981-8810 (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 1336739796 directly on the NPPES registry website.

Browse related providers