Organization Active NPI

Clear Mountain Acupuncture LLC

  • Acupuncturist
  • Montclair, NJ
National Provider Identifier
1225852205
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
CLEAR MOUNTAIN ACUPUNCTURE LLC
Practice address
217 Montclair Ave
Montclair, NJ 07043-1706
Phone
(201) 357-0535
Fax
(212) 223-0198
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Kelsey TangelNPI 1386150266
Title
President
Phone
(201) 357-0535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

217 Montclair Ave
Montclair, NJ 07043-1706

Mailing address

217 Montclair Ave
Montclair, NJ 07043-1706
Phone (201) 357-0535

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1225852205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MONTCLAIR AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431706",
            "telephone_number": "201-357-0535",
            "fax_number": "212-223-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MONTCLAIR AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431706",
            "telephone_number": "201-357-0535",
            "fax_number": "212-223-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MOUNTAIN ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "TANGEL",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-357-0535"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.