Individual provider Active NPI

Meredith Reiner Evans, L.AC

  • Acupuncturist
  • Bordentown, NJ
National Provider Identifier
1114560307
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00141900 Issued in NJ
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

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25MZ00141900NJMDAcupuncturist
OM000267PAMDAcupuncturist

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.

Verify at the official NPI Registry.