Individual provider Active NPI

Diane F Mess, LAC

  • Acupuncturist
  • Forked River, NJ
National Provider Identifier
1215339239
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00106300 Issued in NJ
Practice address
535 Lacey Rd Ste 1
Forked River, NJ 08731-1533
Phone
(732) 688-2058
Fax
(609) 488-5756
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00106300 NJ Primary

Addresses

Primary practice location

535 Lacey Rd Ste 1
Forked River, NJ 08731-1533

Mailing address

PO Box 1004
Forked River, NJ 08731
Phone (732) 688-2058

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00106300NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
A Chiropractic Touch LLC CurrentSince Apr 1, 2021 Accepting new patients
Road Worth Traveling PastSince Apr 1, 2021 Accepting new patients

Locations

540 Lacey Rd
Ste 1C
Forked River, NJ 08731
Phone (609) 488-5558

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1215339239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "08731",
            "telephone_number": "732-688-2058",
            "fax_number": "609-488-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 LACEY RD STE 1",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311533",
            "telephone_number": "732-688-2058",
            "fax_number": "609-488-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESS",
        "first_name": "DIANE",
        "middle_name": "F",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00106300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.