DAEHWAN JI


Address: 460 Bergen Blvd Suite #304, Palisades Park, NJ 07650
Phone: 2014696899

DAEHWAN JI (NPI# 1063824290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063824290
Entity Type Individual
Full Name DAEHWAN JI
Credential L.AC
Practice Address 460 Bergen Blvd Suite #304
Palisades Park
NJ 07650
Mailing Address 460 Bergen Blvd Ste 304
Palisades Park
NJ 07650-2345
Practice Telephone 2014696899
Practice Fax Number 2014617122
Mailing Telephone 2014696899
Mailing Fax Number 2014617122
Enumeration Date 2014-05-22
Last Update Date 2014-05-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist 25MZ00075000 NJ Other Service Providers

Office Location

Street Address 460 BERGEN BLVD SUITE #304
City PALISADES PARK
State NJ
Zip Code 07650

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356902134 Balance Dizziness Center Inc. Psychiatry & Neurology 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 2019-06-24
1437631371 Catherine Jang Pharmacist 113 Roosevelt Pl, Palisades Park, NJ 07650 2018-09-06
1063911782 Jinwoo Kim Acupuncturist 58w Oakdene Ave, Unit A, Palisades Park, NJ 07650 2018-02-08
1275053563 Prime Painmanagement PC Physical Medicine & Rehabilitation 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 2017-06-27
1366836520 George Xenakis, Dds, Palisades Park, LLC Clinic/Center 261a Broad Ave, Palisades Park, NJ 07650 2015-03-26
1245637842 Sun Young Lee Nurse Practitioner 11 West Harriet Ave, Apt 102, Palisades Park, NJ 07650 2014-11-25
1295084739 Minhyun Cho Counselor 19 E Central Blvd, Palisades Park, NJ 07650 2012-08-30
1255693164 Juliana A Vasquez Specialist 446 7th Street, Palisades Park, NJ 07650 2012-06-15
1295019529 Now Pain Clinc PC Residential Treatment Facility, Physical Disabilities 21 Grand Ave #502, Palisades Park, NJ 07650 2011-10-05
1558524462 Julia E. Kim Optometrist 171 Roosevelt Place, Ground Floor, Palisades Park, NJ 07650 2008-07-10
Find all providers in zip 07650

Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982169850 John Lee Acupuncturist 14 E Homestead Ave, Palisades Park, NJ 07650-1533 2019-02-05
1063997013 Chong Koo Kim Acupuncturist 420 Highland Ave Apt 10, Palisades Park, NJ 07650-1384 2018-09-26
1063911782 Jinwoo Kim Acupuncturist 58w Oakdene Ave, Unit A, Palisades Park, NJ 07650 2018-02-08
1437691391 Mary Lee Acupuncturist 21 Grand Ave # 1f, Suite 516, Palisades Park, NJ 07650-1076 2016-11-09
1760848949 Chang Hee Lee Acupuncturist 21 Grand Ave Fl 1, Palisades Park, NJ 07650-1076 2016-01-04
1669858494 Resam Healing Us Inc Acupuncturist 460 Bergen Blvd, Ste 304, Palisades Park, NJ 07650-2300 2015-08-04
1356753081 Loving Light Acupuncture and Herb Acupuncturist 460 Bergen Blvd Ste 304, Palisades Park, NJ 07650-2345 2014-05-29
1427301514 Sun Park Yu Acupuncturist 45 Broad Ave, Palisades Park, NJ 07650-1443 2012-10-26
1497033120 Ki-young Cho Acupuncturist 272a Highland Ave, Palisades Park, NJ 07650-2464 2011-07-29
1770875643 Eun Kyung Lee Acupuncturist 412b 1st St, Palisades Park, NJ 07650-3623 2011-05-10
Find all providers in PALISADES PARK

Competitor

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City PALISADES PARK
Zip Code 07650

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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