Matthew Nilsen-Remedios, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00101200 Issued in NJ

Practice address

240 W Passaic St Ste 8
Maywood, NJ 07607-1264

Phone

(201) 343-2500

Fax

(201) 343-2551

NPI assigned

Jan 2, 2014

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053732412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W PASSAIC ST STE 8",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071264",
            "telephone_number": "201-343-2500",
            "fax_number": "201-343-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W PASSAIC ST STE 8",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071264",
            "telephone_number": "201-343-2500",
            "fax_number": "201-343-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 State St Ste 203A",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076015500",
            "country_code": "US",
            "telephone_number": "201-343-2500",
            "fax_number": "201-343-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 State St Ste 203A",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076015500",
            "country_code": "US",
            "telephone_number": "201-343-2500",
            "fax_number": "201-343-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILSEN-REMEDIOS",
        "first_name": "MATTHEW",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00101200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey Center for Oral & Maxillofacial Surgery (COSA/Costello Oral Surgery Associates, LLC)
• New Jersey Center for Prostate Cancer and Urology, PC
• New Jersey Spinal Medicine and Surgery, P.a.
• Han Ngoc Nguyen, M.D.
• Nilay Shah MD PC
• Nurse Practitioner Professional Services Inc
• Joseph N Nuziale, DC
• Soon Ja Oh, APN
• Vincent C Okabekwa, M.D.
• Optum Medical Care of New Jersey PC (Riverside Medical Group)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.