Kevin Clark, DAOM, LAC, NCC, EMDR – Acupuncturist

Key facts

NPI: 1265736508
Entity type: Individual (NPI type 1)
Primary specialty: Acupuncturist 171100000X
License: 25MZ00104200 (NJ)
Practice address: 543 Old York Rd
Allentown, NJ 08501-1808
Phone: (302) 249-0143
NPI assigned: Dec 30, 2010
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Garden State Acupuncture and Wellness Acupuncturist · Colts Neck, NJ · NPI 1093167991

NPD (past) ACUPUNCTURIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2025-000205	NJ	MD	Addiction (Substance Use Disorder) Counselor
37AC00916700	NJ	MD	Professional Counselor
CQ-0000029	DE	MD	Acupuncturist
25MZ00104200	NJ	MD	Acupuncturist

Practice roles

Organization	Specialty	Status	New patients
Garden State Acupuncture and Wellness	Acupuncturist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	2025-000205	NJ
Acupuncturist	171100000X	25MZ00104200	NJ	Yes
Acupuncturist	171100000X	CQ-0000029	DE
Professional Counselor	101YP2500X	37AC00916700	NJ

Addresses

Primary practice location

543 Old York Rd
Allentown, NJ 08501-1808

Mailing address

543 Old York Rd
Allentown, NJ 08501-1808
Phone (302) 249-0143

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William S Collier, DMD
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All providers in Allentown, NJ · Acupuncturist in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.