Maynard Clinic of Acupuncture & Oriental Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00094000 Issued in NJ

Legal business name

MAYNARD CLINIC OF ACUPUNCTURE & ORIENTAL MEDICINE

Practice address

22 Sylvan St
Suite 200
Rutherford, NJ 07070-2087

Phone

(917) 941-5180

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Darren Waldron Maynard, LAC

Title

Acupuncturist

Phone

(917) 941-5180

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1386997823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SYLVAN ST",
            "address_2": "SUITE 200",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SYLVAN ST",
            "address_2": "SUITE 200",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702087",
            "telephone_number": "917-941-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYNARD CLINIC OF ACUPUNCTURE & ORIENTAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "WALDRON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "917-941-5180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004865",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00094000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Martinez, R.D., C.D.E.
• Karina E Marzullo, RN
• Elizabeth Matias, OTR
• Rahul Gurbux Matnani
• Maximum Medical, LLC
• Joseph Peter Mazza, D.M.D.
• Paul McClair
• Jennifer Layne McDonald, L.AC.
• Kelli McKenna
• Asanta McKenzie, LAC

• 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 Oct 22, 2012; 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.