MR. SUNG-DONG KIM DC LAC CA
NPI 1962579045
Acupuncturist in Englewood Cliffs, NJ

Q: What is Sung-dong Kim's NPI number?

The NPI number for Sung-dong Kim is 1962579045. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Sung-dong Kim's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Sung-dong Kim was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2006Accepts Medicare Assignment

111 CHARLOTTE PL, #101, ENGLEWOOD CLIFFS, NJ 07632(201) 227-8636(201) 227-8639 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Sung-dong Kim Dc Lac Ca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SUNG-DONG KIM DC LAC CA (NPI 1962579045) is an individual acupuncturist in Englewood Cliffs, New Jersey, licensed in New York (002988-1) and active in the NPI registry since November 2006. He is a graduate of Los Angeles College Of Chiropractic (2000).

NPPES Registry Identity

NPI1962579045

Entity TypeIndividualMale

Primary Taxonomy171100000X

Provider Legal NameMR. SUNG-DONG KIMCredential: DC LAC CA

Location Address111 CHARLOTTE PL, #101Englewood Cliffs, NJ 07632

Mailing Address111 Charlotte Pl, #101Englewood Cliffs, NJ 07632 · (201) 227-8636 · Fax (201) 227-8639

Phone(201) 227-8636

Fax(201) 227-8639

Sole ProprietorNo

Medical School CMSLos Angeles College Of ChiropracticGraduated 2000

Enumeration DateNovember 30, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1962579045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

Licenses✔ Licensed in NY · 002988-1✔ Licensed in NJ · 25MZ00042300

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.

Also ListedChiropractorTaxonomy 111N00000X · License 38MC00568000 (NJ), X98111 (NY)

Other Identifiers 4

Other1036944NJ · Ash Chiropractic

Other673435NJ · Acn

Other9388280NJ · Phcs

Other1065217NJ · Ash Acupuncture

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Sung-dong Kim Dc Lac Ca is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466489752

PECOS Enrollment IDI20050720000704

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

348 services63 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sung-dong Kim's NPI number?

The NPI number for Sung-dong Kim is 1962579045. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Sung-dong Kim located?

Sung-dong Kim practices at 111 Charlotte Pl #101, Englewood Cliffs, NJ 07632. The listed phone number is (201) 227-8636.

What is Sung-dong Kim's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Is Sung-dong Kim enrolled in Medicare?

Yes. Sung-dong Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sung-dong Kim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Sung-dong Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sung-dong Kim was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.