Active NPI
Jennifer Layne McDonald, L.AC.
- Acupuncturist
- Rutherford, NJ
National Provider Identifier
1184906315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00084300
- Practice address
- 54 Ames Ave
Rutherford, NJ 07070-1702 - Phone
- (845) 542-3571
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00084300 | NJ | Primary |
Addresses
Primary practice location
54 Ames Ave
Rutherford, NJ 07070-1702
Mailing address
43 Clinton St
#3
Cornwall, NY 12518-1557
Phone (845) 542-3571
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00084300 | NJ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1184906315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CLINTON ST",
"address_2": "#3",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181557",
"telephone_number": "845-542-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 AMES AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701702",
"telephone_number": "845-542-3571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JENNIFER",
"middle_name": "LAYNE",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00084300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.