Active NPIIndividual providerSole proprietor

Kyungjin Park, LAC

Acupuncturist in Westwood, New Jersey

NPI Number1568941003
Practice location
215 Old Hook RD Ste 3C, Westwood, NJ 07675-3173
Fax
201-383-9263
Last updated
September 8, 2020

Kyungjin Park is an Acupuncturist based in Westwood, NJ. Kyungjin Park practices in Westwood, NJ and has the professional credentials of LAC. The NPI Number for Kyungjin Park is 1568941003 and holds a License No. 25MZ00119900 (NJ). The current practice location address for Kyungjin Park is 215 Old Hook RD Ste 3C, Westwood, NJ 07675-3173 and can be reached out via phone at 201-383-9833 and via fax at 201-383-9263.

Provider Profile Details

NPI Number
1568941003
Provider Name
Kyungjin Park
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
215 Old Hook RD Ste 3C, Westwood, NJ 07675-3173
Phone Number
201-383-9833
Fax Number
201-383-9263
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 7, 2018
Last Update Date
September 8, 2020
Certification Date
September 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 Old Hook RD Ste 3C
Westwood, NJ 07675-3173
Zip
07675-3173
Phone Number
201-383-9833
Fax Number
201-383-9263
Westwood, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
42 Dimas CT
Harrington Park, NJ 07640-1604
City
Harrington Park
State
NJ
Zip
07640-1604
Phone Number
201-446-3166

License Information

License Number
25MZ00119900
License State
NJ
Taxonomy
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 Kyungjin Park, LAC?

The NPI number of Kyungjin Park, LAC is 1568941003. It was assigned on August 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Kyungjin Park, LAC?

Kyungjin Park, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00119900.

Where does Kyungjin Park, LAC practice?

The practice location is 215 Old Hook RD Ste 3C, Westwood, NJ 07675-3173. The office can be reached at 201-383-9833 (phone) or 201-383-9263 (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 1568941003 directly on the NPPES registry website.

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