Healthcare Provider Details
I. General information
NPI: 1134059348
Provider Name (Legal Business Name): TRIANT ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
633 WASHINGTON ST FL 2
HOBOKEN NJ
07030-4907
US
IV. Provider business mailing address
633 WASHINGTON ST FL 2
HOBOKEN NJ
07030-4907
US
V. Phone/Fax
- Phone: 201-780-8039
- Fax:
- Phone: 201-780-8039
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JIYONG
MOON
Title or Position: ACUPUNCTURIST
Credential:
Phone: 973-986-2655