Equilibrium Acupuncture of Montclair LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EQUILIBRIUM ACUPUNCTURE OF MONTCLAIR LLC

Practice address

33 Plymouth St Ste 107
Montclair, NJ 07042-2677

Phone

(973) 873-0017

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Deborah Vaphides, LACNPI 1174705529

Title

Owner

Phone

(973) 873-0017

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: deborah@njasianmedicine.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Diane Vaphides, ACUPUNCTURIST

  • Acupuncturist
  • Montclair, NJ
  • NPI 1174705529
  NPD Authorized official

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1073238994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH ST STE 107",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422677",
            "telephone_number": "973-873-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH ST STE 107",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422677",
            "telephone_number": "973-873-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM ACUPUNCTURE OF MONTCLAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "VAPHIDES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-873-0017",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ACUPUNCTURIST",
            "identifier": "25MZ00056900",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Deborah@NJAsianMedicine.com",
            "affiliation": "N",
            "endpointDescription": "Google WorkSpace",
            "address_1": "33 Plymouth St Ste 107",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070422677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.