NPIMap

Organization Active NPI

Bergen Acupuncture and Integrative Medicine, LLC

  • Acupuncturist
  • Westwood, NJ
National Provider Identifier
1083909303
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00067300 Issued in NJ
Legal business name
BERGEN ACUPUNCTURE AND INTEGRATIVE MEDICINE, LLC
Practice address
309A Kinderkamack Road
Westwood, NJ 07675
Phone
(201) 497-8118
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Ms. Jannet Molina-Manteiga, LCSW, LACNPI 1770648008
Title
Owner
Phone
(201) 497-8118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00580000 NJ
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 25MZ00067300 NJ Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 25MZ00040400 NJ

Addresses

Primary practice location

309A Kinderkamack Road
Westwood, NJ 07675

Mailing address

309A Kinderkamack Road
Westwood, NJ 07675
Phone (201) 497-8118

National Provider Directory

National Provider Directory

Locations

309A Kinderkamack Rd
Westwood, NJ 07675
Phone (201) 497-8118

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1083909303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309A KINDERKAMACK ROAD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-497-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309A KINDERKAMACK ROAD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-497-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN ACUPUNCTURE AND INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "MOLINA-MANTEIGA",
        "authorized_official_first_name": "JANNET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-497-8118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00580000",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00067300",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00040400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.