Erin Kennedy, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00145700 Issued in NJ

Practice address

67 Home Ave
Rutherford, NJ 07070-1727

Phone

(646) 470-3672

NPI assigned

Aug 17, 2020

Last updated

Aug 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1376155838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CONVENT AVE APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314225",
            "telephone_number": "773-636-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 HOME AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701727",
            "telephone_number": "646-470-3672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Central Park Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105831063",
            "country_code": "US",
            "telephone_number": "917-472-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ERIN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006692",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00145700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE ACUPUNCTURE LICENSE",
            "identifier": "006692",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE ACUPUNCTURE LICENSE",
            "identifier": "25MZ00145700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.