Active NPI
Andrea Bruce
- Acupuncturist
- Greenwich, CT
National Provider Identifier
1073332276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 804
- Practice address
- 202 Field Point Rd
Greenwich, CT 06830-6446 - Phone
- (201) 669-7557
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 009096 | CT | |
| Acupuncturist | 171100000X | 804 | CT | Primary |
Addresses
Primary practice location
202 Field Point Rd
Greenwich, CT 06830-6446
Mailing address
120 Waverly Ave
Mount Laurel, NJ 08054-1143
Phone (201) 669-7557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 804 | CT | MD | Professional Counselor |
| 009096 | CT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1073332276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WAVERLY AVE",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541143",
"telephone_number": "201-669-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 FIELD POINT RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306446",
"telephone_number": "201-669-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "ANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "009096",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.