Individual provider Active NPI

Adam Perna, LAC

  • Acupuncturist
  • Livingston, NJ
National Provider Identifier
1134575921
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00107200 Issued in NJ
Practice address
65 E Northfield Rd Ste L
Livingston, NJ 07039-4525
Phone
(973) 486-6177
Fax
(973) 486-6186
NPI assigned
May 11, 2016
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 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 005048 NY
Acupuncturist 171100000X 25MZ00107200 NJ Primary

Addresses

Primary practice location

65 E Northfield Rd Ste L
Livingston, NJ 07039-4525

Mailing address

65 E Northfield Rd Ste L
Livingston, NJ 07039-4525
Phone (973) 486-6177

Other practice location 1

194 Eagle Rock Ave
Roseland, NJ 07068-1322
Phone (862) 702-3737

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
25MZ00107200NJMDAcupuncturist
005048NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Health the Spine and Regenerative Medicine Institute of Ny & NJ CurrentSince Oct 11, 2020 Accepting new patients

Locations

65 E Northfield Rd
Ste L
Livingston, NJ 07039
Phone (973) 251-2189

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1134575921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E NORTHFIELD RD STE L",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394525",
            "telephone_number": "973-486-6177",
            "fax_number": "973-486-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E NORTHFIELD RD STE L",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394525",
            "telephone_number": "973-486-6177",
            "fax_number": "973-486-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 Eagle Rock Ave",
            "address_purpose": "LOCATION",
            "city": "Roseland",
            "state": "NJ",
            "postal_code": "070681322",
            "country_code": "US",
            "telephone_number": "862-702-3737",
            "fax_number": "862-210-8753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERNA",
        "first_name": "ADAM",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005048",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00107200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.