Individual provider Active NPI

Alicia Jean Sant'Angelo, LMT

  • Acupuncturist
  • Bloomfield, NJ
National Provider Identifier
1356827901
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00153600 Issued in NJ
Practice address
1129 Broad St
Bloomfield, NJ 07003-3092
Phone
(973) 338-3620
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00777900 NJ
Acupuncturist 171100000X 25MZ00153600 NJ Primary

Addresses

Primary practice location

1129 Broad St
Bloomfield, NJ 07003-3092

Mailing address

24 Lloyd PL
Belleville, NJ 07109-2522
Phone (973) 444-6584

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
25MZ00153600NJMDAcupuncturist
18KT00777900NJMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Total Health Center Acupuncturist CurrentSince Oct 17, 2021 Accepting new patients

Locations

1129 Broad St
Bloomfield, NJ 07003
Phone (973) 338-3620

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1356827901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LLOYD PL",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092522",
            "telephone_number": "973-444-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033092",
            "telephone_number": "973-338-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANT'ANGELO",
        "first_name": "ALICIA",
        "middle_name": "JEAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00777900",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00153600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.