Siu So, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00053000 Issued in NJ

Practice address

721 N Beers St
Ste 1E,
Holmdel, NJ 07733-1518

Phone

(732) 888-2088

Fax

(732) 888-6288

NPI assigned

Feb 2, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bayshore Health and Wellness LLC

  • Acupuncturist
  • Holmdel, NJ
  • NPI 1881524833
  NPD

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1306084058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N BEERS ST",
            "address_2": "STE 1E,",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331518",
            "telephone_number": "732-888-2088",
            "fax_number": "732-888-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N BEERS ST",
            "address_2": "STE 1E,",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331518",
            "telephone_number": "732-888-2088",
            "fax_number": "732-888-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "SIU",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00053000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Keith Smeltzer, MSW
• William Edward Smeltzer, PH.D.
• Smile Works Dental Center PA.
• So Chiropractic Wellness PLLC
• Jonathan So, DC
• Soulful Speech LLC
• Gregory Sousa, DPT
• Spare Pair IV
• James Michael Spitalny, ED.D.
• Srinivas Pavuluri, MD, PA

• Acupuncturist in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.