Organization Active NPI

Wilsey SQ. Acupuncture and Massage LLC

  • Acupuncturist
  • Township of Washington, NJ
National Provider Identifier
1114364874
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00064600 Issued in NJ
Legal business name
WILSEY SQ. ACUPUNCTURE AND MASSAGE LLC
Practice address
285 Pascack Rd Ste 4
Township of Washington, NJ 07676-4841
Phone
(201) 788-0294
Fax
(201) 664-1485
NPI assigned
Jun 3, 2013
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Mr. Michael J. O'Neill, L.AC.NPI 1962715813
Title
Owner
Phone
(201) 788-0394

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00064600 NJ Primary

Addresses

Primary practice location

285 Pascack Rd Ste 4
Township of Washington, NJ 07676-4841

Mailing address

285 Pascack Rd Ste 4
Township of Washington, NJ 07676-4841
Phone (201) 788-0294

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1114364874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PASCACK RD STE 4",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764841",
            "telephone_number": "201-788-0294",
            "fax_number": "201-664-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 PASCACK RD STE 4",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764841",
            "telephone_number": "201-788-0294",
            "fax_number": "201-664-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSEY SQ. ACUPUNCTURE AND MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-788-0394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00064600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Township of Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.