Active NPIIndividual provider

So-Young Vandergast

Acupuncturist in Roseland, New Jersey

NPI Number1881409266
Practice location
161 Eagle Rock Ave Ste 2, Roseland, NJ 07068-1354
Fax
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Last updated
February 11, 2025

So-Young Vandergast is an Acupuncturist based in Roseland, NJ. So-Young Vandergast practices in Roseland, NJ. The NPI Number for So-Young Vandergast is 1881409266 and holds a License No. 25MZ00175200 (NJ). The current practice location address for So-Young Vandergast is 161 Eagle Rock Ave Ste 2, Roseland, NJ 07068-1354 and can be reached out via phone at 973-932-4195.

Provider Profile Details

NPI Number
1881409266
Provider Name
So-Young Vandergast
Provider Entity Type
Individual
Gender
Female
Address
161 Eagle Rock Ave Ste 2, Roseland, NJ 07068-1354
Phone Number
973-932-4195
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
February 11, 2025
Last Update Date
February 11, 2025
Certification Date
February 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 Eagle Rock Ave Ste 2
Roseland, NJ 07068-1354
Zip
07068-1354
Phone Number
973-932-4195
Roseland, NJ 07068Get directions →

Provider Business Mailing Address Details

Address
3100 Rachel Ter Apt 15
Pine Brook, NJ 07058-9347
City
Pine Brook
State
NJ
Zip
07058-9347
Phone Number
973-932-4195

License Information

License Number
25MZ00175200
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 So-Young Vandergast?

The NPI number of So-Young Vandergast is 1881409266. It was assigned on February 11, 2025 and is currently active in the NPPES registry.

What is the specialty of So-Young Vandergast?

So-Young Vandergast is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00175200.

Where does So-Young Vandergast practice?

The practice location is 161 Eagle Rock Ave Ste 2, Roseland, NJ 07068-1354. The office can be reached at 973-932-4195 (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 1881409266 directly on the NPPES registry website.

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