Individual provider Active NPI

Mary Alice Milroy, DIPL. AC., CH

  • Acupuncturist
  • Cinnaminson, NJ
National Provider Identifier
1265552418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00010900 Issued in NJ
Practice address
606 Park Ave
Cinnaminson, NJ 08077-2211
Phone
(856) 829-0992
Fax
(856) 829-4525
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00010900 NJ Primary

Addresses

Primary practice location

606 Park Ave
Cinnaminson, NJ 08077-2211

Mailing address

606 Park Ave
Cinnaminson, NJ 08077-2211
Phone (856) 829-0992

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

LicenseStateTypeSpecialty
25MZ00010900NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265552418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 PARK AVE",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772211",
            "telephone_number": "856-829-0992",
            "fax_number": "856-829-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 PARK AVE",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772211",
            "telephone_number": "856-829-0992",
            "fax_number": "856-829-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILROY",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "DIPL. AC., CH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00010900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.