EVERGREEN ACUPUNCTURE
NPI 1295036291
Acupuncturist in Fort Lee, NJ

NPI Status: Active since November 06, 2010

Contact Information

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

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  • Organization
  • Acupuncturist
  • CLIA Number: 31D1020640
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-28-2025

About EVERGREEN ACUPUNCTURE

This page provides the complete NPI Profile along with additional information for Evergreen Acupuncture, a provider established in Fort Lee, New Jersey operating as a Acupuncturist. The healthcare provider is registered in the NPI registry with number 1295036291 assigned on November 2010. The practitioner's primary taxonomy code is 171100000X with license number 25MZ00031800 (NJ). The provider is registered as an organization and their NPI record was last updated 7 years ago. Evergreen Acupuncture operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Dorothy Kyungae Chae L.ac., Ph.d. (President)

NPI
1295036291
Provider Name
EVERGREEN ACUPUNCTURE
Entity Type
Organization
Location Address
2083 CENTER AVE. 2A FORT LEE, NJ 07024
Location Phone
(201) 945-0022
Location Fax
(877) 371-3713
Mailing Address
2083 CENTER AVE. 2A FORT LEE, NJ 07024
Mailing Phone
(201) 945-0022
Mailing Fax
(877) 371-3713
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2010
Last Update Date
05-10-2019
Code Navigator

An acupuncturist like Evergreen Acupuncture specializes in diagnosing, treating, and preventing some diseases using acupuncture needles. Acupuncturists carefully insert and manipulate fine, solid needles at specific points on the skin to achieve therapeutic benefits. Modern medicine explains that acupuncture works by stimulating the nervous system, causing the body to release certain chemicals, including endorphins, in the muscles, spinal cord, and brain. These chemicals assist the body in managing and regulating pain. Other commonly used treatment methods in acupuncture include herbs or mixtures of herbs, and acupressure, which involves massaging acupuncture points instead of using needles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Acupuncturist

Taxonomy Code
171100000X
Type
Other Service Providers
License No.
25MZ00031800
License State
NJ
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. DOROTHY KYUNGAE CHAE L.AC., PH.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(201) 945-0022

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D1020640
Facility Type
Physician Office
Certificate Effective Date
December 29, 2023
Certificate Expiration Date
December 28, 2025
Laboratory Director
YOON HEE CHOI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evergreen Acupuncture to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295036291, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 0 + 3 + 1 + 2 + 2 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1295036291.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295036291, enumerated as an "organization" on November 06, 2010.

The provider is located at 2083 CENTER AVE. 2A FORT LEE, NJ 07024 and the phone number is (201) 945-0022.

Acupuncturist with taxonomy code 171100000X.