Maria Virginia Kelly, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00070300 Issued in NJ

Practice address

142 Jefferson TRL # Ig
Hopatcong, NJ 07843-1517

Phone

(718) 207-0438

NPI assigned

Dec 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1033448972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JEFFERSON TRL",
            "city": "HOPATCONG",
            "state": "NJ",
            "postal_code": "078431517",
            "telephone_number": "718-207-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JEFFERSON TRL # IG",
            "city": "HOPATCONG",
            "state": "NJ",
            "postal_code": "078431517",
            "telephone_number": "718-207-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARIA",
        "middle_name": "VIRGINIA",
        "credential": "L. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004131-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00070300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha R Hertz
• Hopatcong Ambulance Service Inc
• Hopatcong Board of Education
• Jessica Jackson
• Katrina Seigerman
• Michael Leslie Kessler, RPH
• Kimberly Lamarco, MA CCC-SLP
• Language and Literacy Corner LLC
• Cynthia Larosa
• Luyang Li, PHARM D

• Acupuncturist in Hopatcong, NJ
• Providers in Hopatcong, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.