Henry Todd Fluck, M.AC, L.AC, DIPL.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00123000 Issued in NJ

Practice address

5000 Sagemore Dr
Suite 200
Marlton, NJ 08053-4307

Phone

(856) 912-8219

NPI assigned

Apr 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Todd Fluck Acupuncture

  • Acupuncturist
  • Marlton, NJ
  • NPI 1063042216
  NPD (past) Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1154595635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 COLONY TRL",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535108",
            "telephone_number": "856-912-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAGEMORE DR",
            "address_2": "SUITE 200",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534307",
            "telephone_number": "856-912-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUCK",
        "first_name": "HENRY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "M.AC, L.AC, DIPL.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00876800",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00123000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Marie Fisher, LPC
• David Kalmin Flaks, PSY.D.
• Brian Fleischer, MD, MENG
• Randi Sue Flexner, FNP, DNP
• Maribett Flores, CRNP
• Michelle Fluegel, LCSW
• Jacoby Jake Fluelling
• Kathleen A Flynn, M.A., CCC-SLP
• Focus on Me
• Focus on US

• Acupuncturist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.