Individual provider Active NPI

Renee A Clacer, M.S., L.AC.

  • Acupuncturist
  • Fair Lawn, NJ
National Provider Identifier
1295032274
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00079500 Issued in NJ
Practice address
18-01 Pollitt Dr
Suite 1a - Rehabilitation Specialists
Fair Lawn, NJ 07410-2813
Phone
(201) 478-4200
Fax
(201) 478-4202
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00079500 NJ Primary

Addresses

Primary practice location

18-01 Pollitt Dr
Suite 1a - Rehabilitation Specialists
Fair Lawn, NJ 07410-2813

Mailing address

18-01 Pollitt Dr
Suite 1a - Rehabilitation Specialists
Fair Lawn, NJ 07410-2813
Phone (201) 478-4200

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25MZ00079500NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1295032274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DR",
            "address_2": "SUITE 1A - REHABILITATION SPECIALISTS",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102813",
            "telephone_number": "201-478-4200",
            "fax_number": "201-478-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DR",
            "address_2": "SUITE 1A - REHABILITATION SPECIALISTS",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102813",
            "telephone_number": "201-478-4200",
            "fax_number": "201-478-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLACER",
        "first_name": "RENEE",
        "middle_name": "A",
        "credential": "M.S., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00079500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.