1407721640 NPI number — TRU ACUPUNCTURE AND ORIENTAL MEDICINE LLC

Table of content: MRS. BETH ANNE STERLING CRNP (NPI 1649621277)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407721640 NPI number — TRU ACUPUNCTURE AND ORIENTAL MEDICINE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRU ACUPUNCTURE AND ORIENTAL MEDICINE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
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NPI Number Information

NPI Number:
1407721640
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
752 GRAND AVE # 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIDGEFIELD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07657-1019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-703-6150
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
752 GRAND AVE # 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIDGEFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07657-1019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-703-6150
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/08/2025

Additional Information

Authorized Official

Authorized Official Last Name:
YOON
Authorized Official First Name:
KYUNG
Authorized Official Middle Name:
AH
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
917-703-6150

Provider Taxonomy Codes

  • Taxonomy code: 171100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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