Individual provider Active NPI

Zsuzsa Debroci, LAC, LMT

  • Acupuncturist
  • Holmdel, NJ
National Provider Identifier
1003096215
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25 003566 Issued in NY
Practice address
761 Palmer Ave
Holmdel, NJ 07733-1086
Phone
(917) 686-6669
NPI assigned
Nov 6, 2007
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25 003566 NY Primary

Addresses

Primary practice location

761 Palmer Ave
Holmdel, NJ 07733-1086

Mailing address

2 Bristel Rd
Holmdel, NJ 07733-2717
Phone (917) 686-6669

Other identifiers 1

IdentifierTypeStateIssuer
QZ18503CMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25 003566NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Body Acupuncture Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1003096215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRISTEL RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332717",
            "telephone_number": "917-686-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 PALMER AVE",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331086",
            "telephone_number": "917-686-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROCI",
        "first_name": "ZSUZSA",
        "name_prefix": "Ms.",
        "credential": "LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 003566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QZ18503C",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.