DAEHWAN JI (NPI# 1063824290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 25MZ00075000 | NJ | Other Service Providers |
| Street Address |
460 BERGEN BLVD SUITE #304 |
| City | PALISADES PARK |
| State | NJ |
| Zip Code | 07650 |
| 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 Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| 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. |
| 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 | ||||
| City | PALISADES PARK |
| Zip Code | 07650 |
Please comment or provide details below to improve the information on DAEHWAN JI.
| 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.