Wayne Family Wellness, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

WAYNE FAMILY WELLNESS, LLC

Doing business as

VIllage Wellness

Practice address

6 Waterloo Ave
Berwyn, PA 19312-1731

Phone

(610) 203-3747

NPI assigned

Dec 6, 2018

Last updated

Dec 6, 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

Lance Isakov, M.AC., L.AC.NPI 1457682551

Title

Founder, Acupuncturist

Phone

(610) 203-3747

Specialties & licenses 1

Addresses

Other names 1

• VIllage Wellness Doing business as

Practitioners 4

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.

• Lance Isakov, M.AC. L.AC.,

  • Acupuncturist
  • Wayne, PA
  • NPI 1457682551
  Authorized official Same address or phone
• Page Walker Buck

  • Social Worker
  • Berwyn, PA
  • NPI 1215453741
  NPD (past)
• Gabrielle Marie Caponigro Geib, L.AC.

  • Acupuncturist
  • Berwyn, PA
  • NPI 1427509520
  NPD (past)
• Stewart Snyder

  • Other Specialist/Technologist
  • Berwyn, PA
  • NPI 1134645666
  NPD (past)

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1083185706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WATERLOO AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121731",
            "telephone_number": "610-203-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WATERLOO AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121731",
            "telephone_number": "610-203-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE FAMILY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "FOUNDER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "610-203-3747",
        "authorized_official_credential": "M.AC., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIllage Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Vitale, LCSW
• Vpa PC (HarmonyCares Medical Group)
• Vpa PC (Visiting Physicians Association)
• Vpa PC (HarmonyCares Medical Group)
• Kathryn Emily Walters, CRNP
• Kyle Whale, LSW
• Geoffrey Winkley, MD
• Jodi Bremer Wolf, PH.D.
• Lauren Wylonis, M.D.
• Nina Tove Wylonis

• Acupuncturist in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.