Individual provider Active NPI

Maria P.a. Phillips, L.AC. C.A.

  • Acupuncturist
  • Monroe Township, NJ
National Provider Identifier
1184753667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00039600 Issued in NJ
Practice address
39 Lori St
Monroe Township, NJ 08831-8644
Phone
(732) 416-9151
NPI assigned
Mar 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 002811 NY
Acupuncturist 171100000X 25MZ00039600 NJ Primary

Addresses

Primary practice location

39 Lori St
Monroe Township, NJ 08831-8644

Mailing address

39 Lori St
Monroe Township, NJ 08831-8644
Phone (732) 416-9151

Other names 1

  • Ms. Maria P.a. Phillips Blackman Former name

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
25MZ00039600NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Needle Acupuncture & Wellness LLC Acupuncturist CurrentSince Aug 23, 2020 Accepting new patients

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184753667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LORI ST",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088318644",
            "telephone_number": "732-416-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LORI ST",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088318644",
            "telephone_number": "732-416-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARIA",
        "middle_name": "P.A.",
        "name_prefix": "Ms.",
        "credential": "L.AC. C.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002811",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00039600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PHILLIPS BLACKMAN",
            "middle_name": "P.A.",
            "prefix": "MS.",
            "credential": "L.AC. C.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.