Eastern Acupuncture Wilton Manors

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EASTERN ACUPUNCTURE WILTON MANORS

Practice address

1201 NE 26TH St Ste 106
Wilton Manors, FL 33305-1206

Phone

(954) 400-5044

NPI assigned

Jan 7, 2022

Last updated

Jan 7, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

EASTERN ACUPUNCTURE AND WELLNESSAs reported in NPPES

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

Authorized official

Name

Jennifer Cruz, AP.DAOMNPI 1235397910

Title

Physician

Phone

(954) 400-5044

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Eastern Acupuncture and Wellness

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eastern Acupuncture and Wellness

  • Acupuncturist
  • Plantation, FL
  • NPI 1275959801
  NPPES parent name

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Cruz, AP. DAOM.

  • Acupuncturist
  • Plantation, FL
  • NPI 1235397910
  NPD (past) Authorized official
• Ryan Bishop, L.AC., LMT

  • Acupuncturist
  • Loxahatchee, FL
  • NPI 1770802282
  NPD (past)
• Tai Johnson, AP

  • Acupuncturist
  • Plantation, FL
  • NPI 1316433220
  NPD (past)
• Andrea Aileen Louden, AP

  • Acupuncturist
  • Davie, FL
  • NPI 1285506618
  NPD (past)
• Leila Motta, DOM

  • Acupuncturist
  • Parkland, FL
  • NPI 1023895430
  NPD (past)
• Taina Rodriguez, AP

  • Acupuncturist
  • Boynton Beach, FL
  • NPI 1447663471
  NPD (past)
• Lisa Shields

  • Acupuncturist
  • Plantation, FL
  • NPI 1780141028
  NPD (past)

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1316608714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13224 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252228",
            "telephone_number": "954-400-5504",
            "fax_number": "954-400-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 26TH ST STE 106",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051206",
            "telephone_number": "954-400-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ACUPUNCTURE WILTON MANORS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTERN ACUPUNCTURE AND WELLNESS",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-400-5044",
        "authorized_official_credential": "AP.DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "1235397910",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Huss PA (One Hand Medical)
• Patrick Dreher, ARNP
• Jean Marie Drews, LMWSC
• Dynamic Outpatient Therapeutic Services, LLC
• Dynamic Wellness Solutions, LLC
• Antoinette Edmonds
• Edouard Home Health Institute and Training Center Inc (Edouard Home Care Agency)
• America Jeanne El Sheikh
• Amy E. Ellis, PH.D.
• Daniel Elmore, PHARMD

• Acupuncturist in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.