Individual provider Active NPI

Nikolaos George Karelas, LAC

  • Acupuncturist
  • Jersey City, NJ
National Provider Identifier
1124633664
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006807 Issued in NY
Practice address
9 Rutgers Ave # 2
Jersey City, NJ 07305-2810
Phone
(347) 254-4914
NPI assigned
Sep 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006807 NY Primary

Addresses

Primary practice location

9 Rutgers Ave # 2
Jersey City, NJ 07305-2810

Mailing address

9 Rutgers Ave # 2
Jersey City, NJ 07305-2810
Phone (347) 254-4914

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
006807NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1124633664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RUTGERS AVE # 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052810",
            "telephone_number": "347-254-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RUTGERS AVE # 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052810",
            "telephone_number": "347-254-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARELAS",
        "first_name": "NIKOLAOS",
        "middle_name": "GEORGE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.