Jeanny Chan, CA

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00026700 Issued in NJ

Practice address

308 Springfield Ave
#2
Berkeley Heights, NJ 07922-1278

Phone

(908) 723-1580

Fax

(908) 688-5897

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1194871962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SPRINGFIELD AVE",
            "address_2": "#2",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221278",
            "telephone_number": "908-723-1580",
            "fax_number": "908-688-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SPRINGFIELD AVE",
            "address_2": "#2",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221278",
            "telephone_number": "908-723-1580",
            "fax_number": "908-688-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JEANNY",
        "name_prefix": "Ms.",
        "credential": "CA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00026700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Castellaccio
• Maria Castro
• Jennifer Cepak, CRNA
• Maria L Cesari-Redondo, PT, MSPT
• Diana Chan, M.D.
• Maria Gabriela Chancay, M.D.
• Gregory Chang, PA
• Karen O Chang
• Margaret Barbara Chanin, MS, SLP
• Jheanell Charles, P.A.

• Acupuncturist in Berkeley Heights, NJ
• Providers in Berkeley Heights, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.