Organization Active NPI

Organique LLC

  • Acupuncturist
  • Newark, NJ
National Provider Identifier
1386947448
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00052800 Issued in NJ
Legal business name
ORGANIQUE LLC
Practice address
140 Wilson Ave
Newark, NJ 07105-3326
Phone
(973) 491-0022
Fax
(973) 368-2287
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Daniela Sorvillo, L.AC., MSOM, LOBT
Title
Owner
Phone
(973) 491-0022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 25MZ00052800 NJ Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP 1723 FL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 26BT00029800 NJ

Addresses

Primary practice location

140 Wilson Ave
Newark, NJ 07105-3326

Mailing address

140 Wilson Ave
Newark, NJ 07105-3326
Phone (973) 491-0022

Other names 1

  • Organique Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

140 Wilson Ave
Newark, NJ 07105
Phone (973) 491-0022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1386947448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WILSON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053326",
            "telephone_number": "973-491-0022",
            "fax_number": "973-368-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WILSON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053326",
            "telephone_number": "973-491-0022",
            "fax_number": "973-368-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGANIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "SORVILLO",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-491-0022",
        "authorized_official_credential": "L.AC., MSOM, LOBT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00052800",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1723",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "26BT00029800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Organique Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.