Kelly H Hahn, ACP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00073500 Issued in NJ

Practice address

25 Terhune Ave
Lotus Affordable Acupuncture, LLC.
Lodi, NJ 07644-2153

Phone

(201) 688-6633

Fax

(973) 272-6046

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lotus Affordable Acupuncture, LLC

  • Acupuncturist
  • Lodi, NJ
  • NPI 1174912026
  NPD (past) Authorized official

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1114237641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TERHUNE AVE",
            "address_2": "LOTUS AFFORDABLE ACUPUNCTURE, LLC.",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442153",
            "telephone_number": "201-688-6633",
            "fax_number": "973-272-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TERHUNE AVE",
            "address_2": "LOTUS AFFORDABLE ACUPUNCTURE, LLC.",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442153",
            "telephone_number": "201-688-6633",
            "fax_number": "973-272-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "KELLY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "ACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00073500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niurka E Grullon, SOLE PROPRIETARY
• Brendan Guarino, PSYD
• Guido & Bair, L.L.C.
• Preeti P Guido, D.M.D.
• Hackensack Meridian Ambulatory Care, Inc.
• Health Innovations Unlimited, Inc.
• Ryan Daniel Heinz, DC
• James Michael Manansala Hernandez, PT
• Emily Hewett, OTR/L
• Imperial Vista Health Care Staffing, LLC

• All providers in Lodi, NJ
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.