Individual provider Active NPI

Stephanie Yang, L. AC.

  • Acupuncturist
  • Fairfield, NJ
National Provider Identifier
1144455387
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00066000 Issued in NJ
Practice address
271 Rte 46 W
Suite A109
Fairfield, NJ 07004-2440
Phone
(973) 316-1768
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00066000 NJ Primary

Addresses

Primary practice location

271 Rte 46 W
Suite A109
Fairfield, NJ 07004-2440

Mailing address

271 Rte 46 W
Suite A109
Fairfield, NJ 07004-2440
Phone (973) 316-1768

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
25MZ00066000NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Luminosity Acupuncture & Holistic Center Acupuncturist Current Accepting new patients
Luminosity Acupuncture Center PC Acupuncturist Current Accepting new patients

Locations

271 US Highway 46
Ste A109
Fairfield, NJ 07004
Phone (973) 316-1768

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1144455387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 RTE 46 W",
            "address_2": "SUITE A109",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-316-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 RTE 46 W",
            "address_2": "SUITE A109",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-316-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "STEPHANIE",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00066000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.