Active NPI
Martha Ma, LAC, M.S.
- Acupuncturist
- Waterford, CT
National Provider Identifier
1366882979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 590
- Practice address
- 83 Boston Post Rd
Waterford, CT 06385-2423 - Phone
- (917) 309-4694
- NPI assigned
- Jun 27, 2013
- Last updated
- Jun 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 590 | CT | Primary |
Addresses
Primary practice location
83 Boston Post Rd
Waterford, CT 06385-2423
Mailing address
2080 1St Ave Apt 707
New York, NY 10029-4328
Phone (917) 309-4694
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 590 | CT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1366882979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 1ST AVE APT 707",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100294328",
"telephone_number": "917-309-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 BOSTON POST RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063852423",
"telephone_number": "917-309-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "MARTHA",
"name_prefix": "Prof.",
"credential": "LAC, M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.