NPIMap

Organization Active NPI

Rose Koi Acupuncture, LLC

  • Health Service Clinic/Center
  • Northborough, MA
National Provider Identifier
1013589845
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ROSE KOI ACUPUNCTURE, LLC
Practice address
106 W Main St Ste 3
Northborough, MA 01532-1824
Phone
(774) 314-2499
NPI assigned
Jul 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Melani Gerenia, LIC.AC.NPI 1902280787
Title
Owner
Phone
(774) 314-2499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

106 W Main St Ste 3
Northborough, MA 01532-1824

Mailing address

123 Chapin Rd Apt 2a
Hudson, MA 01749-2761

National Provider Directory

National Provider Directory

Locations

106 W Main St
Ste 3
Northborough, MA 01532
Phone (774) 314-2499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1013589845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHAPIN RD APT 2A",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST STE 3",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321824",
            "telephone_number": "774-314-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE KOI ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "GERENIA",
        "authorized_official_first_name": "MELANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-314-2499",
        "authorized_official_credential": "LIC.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.