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Jongkoo Ahn , LAC, LMT

Acupuncturist β€’ Stony Brook, NY

Active NPI 1023373685 Individual Practitioner Male Practitioner
Practice location in NPPES

215 Hallock Rd Ste 6a
Stony Brook, NY 11790

Call 9175631824 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

215 Hallock Rd Ste 6a

Stony Brook, NY 11790

Telephone 9175631824
Fax 9299001843
Organization at the Same NPPES Address or Phone
Stony Brook Acupuncture And Massage Therapy Pc Facility NPI 1588222509

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Orchard Park, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Stony Brook and New York

6 active clinicians are listed under Acupuncturist with a practice address in Stony Brook, NY (3,944 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES NY 003747

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.

Massage Therapist

NUCC Taxonomy Code: 225700000X

License # reported to NPPES NY 025164

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Secondary Practice Locations

240 Red Tail Ln, Suite#11b

Orchard Park, NY 141271581

Phone: 7166776775

215 Hallock Rd Ste 6a

Stony Brook, NY 117903077

Phone: 9175631824

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 04, 2019

Registered at 215 HALLOCK RD STE 6A, STONY BROOK, NY 11790 (Tel: 9175631824)

πŸ“
Updated Business Mailing Address June 04, 2019

Registered at 215 HALLOCK RD STE 6A, STONY BROOK, NY 117903077 (Tel: 9175631824)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2019

Massage Therapist (license number reported to NPPES: NY 025164)

βœ…
NPI Profile Active October 10, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 10, 2012

Registered at 240 RED TAIL LN, SUITE#11B, ORCHARD PARK, NY 141271581 (Tel: 7166776775)

πŸ“
Business Mailing Address (Initial Record) October 10, 2012

Registered at 240 RED TAIL LN, SUITE#11B, ORCHARD PARK, NY 141271581 (Tel: 7166776775)

πŸ‘€
Provider Name / Credentials (Initial Record) October 10, 2012

Recorded as JONGKOO AHN, LAC,LMT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2012

Acupuncturist (license number reported to NPPES: NY 003747)

🟒
Initial NPI Registration & Enumeration July 10, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023373685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2012
Last Update: June 04, 2019
Sole Proprietor: Yes

Mailing Address

215 Hallock Rd Ste 6a

Stony Brook, NY 117903077

Phone: 9175631824

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.