Active NPIIndividual provider

Pearl J Bae, LAC

Acupuncturist in Newark, New Jersey

NPI Number1881027506
Practice location
60 Park Pl Ste 504, Newark, NJ 07102-5513
Fax
—
Last updated
December 31, 2020

Pearl Jinju Bae is an Acupuncturist based in Newark, NJ. Pearl Jinju Bae practices in Newark, NJ and has the professional credentials of LAC. The NPI Number for Pearl Jinju Bae is 1881027506 and holds a License No. 004823 (NY). The current practice location address for Pearl Jinju Bae is 60 Park Pl Ste 504, Newark, NJ 07102-5513 and can be reached out via phone at 973-803-8130.

Provider Profile Details

NPI Number
1881027506
Provider Name
Pearl Jinju Bae
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
60 Park Pl Ste 504, Newark, NJ 07102-5513
Phone Number
973-803-8130
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2013
Last Update Date
December 31, 2020
Certification Date
December 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Park Pl Ste 504
Newark, NJ 07102-5513
City
Newark
Zip
07102-5513
Phone Number
973-803-8130
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
60 Park Pl Ste 504
Newark, NJ 07102-5513
City
Newark
State
NJ
Zip
07102-5513
Phone Number
973-803-8130

License Information

License Number (1)
004823
License State (1)
NY
Taxonomy (1)
Acupuncturist · 171100000X
License Number (2)
25MZ00097300
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 Pearl J Bae, LAC?

The NPI number of Pearl J Bae, LAC is 1881027506. It was assigned on August 16, 2013 and is currently active in the NPPES registry.

What is the specialty of Pearl J Bae, LAC?

Pearl J Bae, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 004823.

Where does Pearl J Bae, LAC practice?

The practice location is 60 Park Pl Ste 504, Newark, NJ 07102-5513. The office can be reached at 973-803-8130 (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 1881027506 directly on the NPPES registry website.

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