Integrative Acupuncture Limited Liability Company

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

MZ0000107 Issued in NM

Legal business name

INTEGRATIVE ACUPUNCTURE LIMITED LIABILITY COMPANY

Practice address

69 W Ridgewood Ave
Ridgewood, NJ 07450-3142

Phone

(201) 444-7150

Fax

(800) 675-9860

NPI assigned

Feb 12, 2018

Last updated

Feb 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Goldstein, L. AC.NPI 1952479487

Title

Acupuncturist/ Owner

Phone

(201) 444-7150

Specialties & licenses 1

Addresses

Other names 1

• integrative Acupuncture Center Former legal business name

Locations

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.

• Joshua Goldstein, L. AC. , MTOM

  • Acupuncturist
  • Ridgewood, NJ
  • NPI 1952479487
  NPD (past) Authorized official

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1053810408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503142",
            "telephone_number": "201-444-7150",
            "fax_number": "800-675-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503142",
            "telephone_number": "201-444-7150",
            "fax_number": "800-675-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE ACUPUNCTURE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "ACUPUNCTURIST/ OWNER",
        "authorized_official_telephone_number": "201-444-7150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "MZ0000107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "integrative Acupuncture Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.