Active NPIIndividual providerSole proprietor

Ji Young Park, LAC

Acupuncturist in Palisades Park, New Jersey

NPI Number1356956080
Practice location
118 Broad Ave # 10, Palisades Park, NJ 07650-2717
Fax
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Last updated
March 28, 2022

Ji Young Park is an Acupuncturist based in Palisades Park, NJ. Ji Young Park practices in Palisades Park, NJ and has the professional credentials of LAC. The NPI Number for Ji Young Park is 1356956080 and holds a License No. AC18841 (CA). The current practice location address for Ji Young Park is 118 Broad Ave # 10, Palisades Park, NJ 07650-2717 and can be reached out via phone at 201-313-1122.

Provider Profile Details

NPI Number
1356956080
Provider Name
Ji Young Park
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
118 Broad Ave # 10, Palisades Park, NJ 07650-2717
Phone Number
201-313-1122
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 10, 2020
Last Update Date
March 28, 2022
Certification Date
March 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Broad Ave # 10
Palisades Park, NJ 07650-2717
Zip
07650-2717
Phone Number
201-313-1122
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
118 Broad Ave # 10
Palisades Park, NJ 07650-2717
City
Palisades Park
State
NJ
Zip
07650-2717
Phone Number
201-313-1122

License Information

License Number (1)
AC18841
License State (1)
CA
Taxonomy (1)
Acupuncturist · 171100000X
License Number (2)
25MZ00158300
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 Ji Young Park, LAC?

The NPI number of Ji Young Park, LAC is 1356956080. It was assigned on September 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Ji Young Park, LAC?

Ji Young Park, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in CA under license number AC18841.

Where does Ji Young Park, LAC practice?

The practice location is 118 Broad Ave # 10, Palisades Park, NJ 07650-2717. The office can be reached at 201-313-1122 (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 1356956080 directly on the NPPES registry website.

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