Provider Demographics
NPI:1427935253
Name:LUMINOUS ACUPUNCTURE PLLC
Entity type:Organization
Organization Name:LUMINOUS ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-966-7828
Mailing Address - Street 1:154 PHELPS AVE
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-2426
Mailing Address - Country:US
Mailing Address - Phone:201-966-7828
Mailing Address - Fax:
Practice Address - Street 1:3310 101ST ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-1018
Practice Address - Country:US
Practice Address - Phone:347-708-1294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty