Shen Radiance, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SHEN RADIANCE, LLC

Practice address

50 Church St Ste L4
Montclair, NJ 07042-2745

Phone

(914) 482-3945

NPI assigned

Feb 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Fatma Minhas-Kucuk, DAC, LACNPI 1508268152

Title

Acupuncturist/Owner

Phone

(914) 482-3945

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatma Minhas-Kucuk, L.AC.

  • Acupuncturist
  • New Brunswick, NJ
  • NPI 1508268152
  NPD Authorized official

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1164286753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 VILLAGE RD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441829",
            "telephone_number": "914-482-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHURCH ST STE L4",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422745",
            "telephone_number": "914-482-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEN RADIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "MINHAS-KUCUK",
        "authorized_official_first_name": "FATMA",
        "authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
        "authorized_official_telephone_number": "914-482-3945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAC, LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna O Sharp, NP
• Gina L. Sharpe, M.S.W
• Faiza Rehman Sheikh-Mian, LSW
• Omar Rizwan Sheikh
• Sheila a Bond MD, PC
• Carol Shepheard-Walwyn, RD
• Erik Sherman, MD
• Sherry Blair Institute for Inspirational Change, LLC
• Zachary Shery
• Boni Shevelove, LSW

• Health Service Clinic/Center in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.