EVERGREEN ACUPUNCTURE NPI 1295036291

NPI Information

  • NPI: 1295036291
  • Provider Name: EVERGREEN ACUPUNCTURE
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Organization
  • CLIA Number: 31D1020640
  • Address: 2083 CENTER AVE.
    2A
    FORT LEE, NJ
    ZIP 07024
  • Phone: (201) 945-0022

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NPI Details

EVERGREEN ACUPUNCTURE is an acupuncturist in Fort Lee, NJ. The provider is 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. EVERGREEN ACUPUNCTURE NPI is 1295036291. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2083 CENTER AVE.
2A
FORT LEE, NJ
ZIP 07024
Phone: (201) 945-0022
Fax: (877) 371-3713

The provider's authorized official is Dorothy Kyungae Chae .
The authorized official title is President and has the following contact phone number (201) 945-0022.

The CLIA number assigned to this NPI record is 31D1020640 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2010 and was last updated on 5/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturist25MZ00031800NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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