Provider Demographics
NPI:1386805349
Name:ACUKINETICS
Entity type:Organization
Organization Name:ACUKINETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:HYUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, MSOT
Authorized Official - Phone:201-566-3554
Mailing Address - Street 1:115 E EDSALL AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1422
Mailing Address - Country:US
Mailing Address - Phone:201-566-3554
Mailing Address - Fax:201-941-7995
Practice Address - Street 1:115 E EDSALL AVE UNIT B
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1422
Practice Address - Country:US
Practice Address - Phone:201-566-3554
Practice Address - Fax:201-941-7995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2295743320700000X
NJ40QA01219600320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities