Active NPI
Jennifer Surjana, DACM, L.AC.
- Acupuncturist
- Norfolk, VA
National Provider Identifier
1346963394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000613
- Practice address
- 333 W Freemason St Ste 200
Norfolk, VA 23510-1263 - Phone
- (757) 333-0027
- NPI assigned
- Sep 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000613 | VA | Primary |
Addresses
Primary practice location
333 W Freemason St Ste 200
Norfolk, VA 23510-1263
Mailing address
333 W Freemason St Ste 200
Norfolk, VA 23510-1263
Phone (757) 333-0027
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0121000613 | VA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1346963394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W FREEMASON ST STE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101263",
"telephone_number": "757-333-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W FREEMASON ST STE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101263",
"telephone_number": "757-333-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURJANA",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DACM, L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.