Individual provider Active NPI

Hisham Ibrahim Amer, LAC

  • Acupuncturist
  • Cherry Hill, NJ
National Provider Identifier
1104059245
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00083300 Issued in NJ
Practice address
102 Browning LN
Building a, Suite 1B
Cherry Hill, NJ 08003-3195
Phone
(856) 528-2678
NPI assigned
Aug 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00083300 NJ Primary

Addresses

Primary practice location

102 Browning LN
Building a, Suite 1B
Cherry Hill, NJ 08003-3195

Mailing address

102 Browning LN
Building a, Suite 1B
Cherry Hill, NJ 08003-3195
Phone (856) 528-2678

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

LicenseStateTypeSpecialty
25MZ00083300NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Specialists Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1104059245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BROWNING LN",
            "address_2": "BUILDING A, SUITE 1B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033195",
            "telephone_number": "856-528-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BROWNING LN",
            "address_2": "BUILDING A, SUITE 1B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033195",
            "telephone_number": "856-528-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMER",
        "first_name": "HISHAM",
        "middle_name": "IBRAHIM",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00083300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.