Heather Viccaro Balestrieri, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00093000 Issued in NJ

Practice address

146 Chestnut Ridge Rd
Saddle River, NJ 07458-2821

Phone

(201) 956-2516

Fax

(201) 956-2516

NPI assigned

Feb 5, 2008

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

Other names 1

• Miss Heather L Sahoury Former name

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.

• Active Acupuncture NJ

  • Acupuncturist
  • Saddle River, NJ
  • NPI 1649835802
  NPD (past) Authorized official

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1194903872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GARDEN AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521918",
            "telephone_number": "201-956-2516",
            "fax_number": "201-327-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CHESTNUT RIDGE RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582821",
            "telephone_number": "201-956-2516",
            "fax_number": "201-956-2516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Wyckoff",
            "state": "NJ",
            "postal_code": "074812820",
            "country_code": "US",
            "telephone_number": "201-956-2516",
            "fax_number": "201-956-2516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Garden Ave",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076521918",
            "country_code": "US",
            "telephone_number": "201-956-2516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALESTRIERI",
        "first_name": "HEATHER",
        "middle_name": "VICCARO",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00093000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SAHOURY",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acupuncturist in Saddle River, NJ
• Providers in Saddle River, 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 3, 2019; 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.