Individual provider Active NPI

Ani Baran, L.AC

  • Acupuncturist
  • Jersey City, NJ
National Provider Identifier
1275989444
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00119800 Issued in NJ
Practice address
551 Newark Ave
Ste 201
Jersey City, NJ 07306-1307
Phone
(201) 668-0343
NPI assigned
May 6, 2016
Last updated
May 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00119800 NJ Primary

Addresses

Primary practice location

551 Newark Ave
Ste 201
Jersey City, NJ 07306-1307

Mailing address

201 W 30TH St
Apt 302
Bayonne, NJ 07002-1876

Other names 1

  • Ani Petrosyan Former name

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
25MZ00119800NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Acupuncture Center Acupuncturist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1275989444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 30TH ST",
            "address_2": "APT 302",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 NEWARK AVE",
            "address_2": "STE 201",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061307",
            "telephone_number": "201-668-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAN",
        "first_name": "ANI",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00119800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANI",
            "last_name": "PETROSYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.