Active NPI
Meredith Reiner Evans, L.AC
- Acupuncturist
- Bordentown, NJ
National Provider Identifier
1114560307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00141900
- Practice address
- 9500 K Johnson Blvd
Bordentown, NJ 08505-2264 - Phone
- (609) 817-0050
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | OM000267 | PA | |
| Acupuncturist | 171100000X | 25MZ00141900 | NJ | Primary |
Addresses
Primary practice location
9500 K Johnson Blvd
Bordentown, NJ 08505-2264
Mailing address
200 W Burlington St
Bordentown, NJ 08505-1727
Other practice location 1
4451 Route 27
Princeton, NJ 08540-8708
Phone (609) 430-9999
Other practice location 2
828A Newtown Yardley Rd
Newtown, PA 18940-4012
Phone (215) 504-2223
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00141900 | NJ | MD | Acupuncturist |
| OM000267 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1114560307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W BURLINGTON ST",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085051727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 K JOHNSON BLVD",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085052264",
"telephone_number": "609-817-0050"
}
],
"practiceLocations": [
{
"address_1": "4451 Route 27",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "NJ",
"postal_code": "085408708",
"country_code": "US",
"telephone_number": "609-430-9999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "828A Newtown Yardley Rd",
"address_purpose": "LOCATION",
"city": "Newtown",
"state": "PA",
"postal_code": "189404012",
"country_code": "US",
"telephone_number": "215-504-2223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "MEREDITH",
"middle_name": "REINER",
"name_prefix": "Ms.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "OM000267",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00141900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bordentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.