Individual provider Active NPI

Alexandria Rose Henriques, L.AC

  • Acupuncturist
  • Metuchen, NJ
National Provider Identifier
1295363794
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00149200 Issued in NJ
Practice address
463 Main St FL 1
Metuchen, NJ 08840-1898
Phone
(732) 841-3872
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 006729-01 NY
Acupuncturist 171100000X 25MZ00149200 NJ Primary

Addresses

Primary practice location

463 Main St FL 1
Metuchen, NJ 08840-1898

Mailing address

65 Snyder Rd
Fords, NJ 08863-1311
Phone (732) 841-3872

Other practice location 1

162 W 56th St Ste 501
New York, NY 10019-3869
Phone (917) 727-8431

Other practice location 2

315 Main St
Metuchen, NJ 08840-2459
Phone (908) 494-4185

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
25MZ00149200NJMDAcupuncturist
006729-01NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupunk Nyc Acupuncturist CurrentSince Oct 1, 2023 Accepting new patients

Locations

463 Main St
Fl 1
Metuchen, NJ 08840
Phone (732) 841-3872

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1295363794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SNYDER RD",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631311",
            "telephone_number": "732-841-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 MAIN ST FL 1",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401898",
            "telephone_number": "732-841-3872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 W 56th St Ste 501",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193869",
            "country_code": "US",
            "telephone_number": "917-727-8431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Main St",
            "address_purpose": "LOCATION",
            "city": "Metuchen",
            "state": "NJ",
            "postal_code": "088402459",
            "country_code": "US",
            "telephone_number": "908-494-4185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIQUES",
        "first_name": "ALEXANDRIA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006729-01",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00149200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.