Individual provider Active NPI

Robert F. Lenahan, D.AC.,C.A.

  • Acupuncturist
  • Point Pleasant Boro, NJ
National Provider Identifier
1396035895
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00000100 Issued in NJ
Practice address
3402 River Rd
Point Pleasant Boro, NJ 08742-2045
Phone
(732) 899-0951
Fax
(732) 899-0951
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00000100 NJ Primary

Addresses

Primary practice location

3402 River Rd
Point Pleasant Boro, NJ 08742-2045

Mailing address

3402 River Rd
Point Pleasant Boro, NJ 08742-2045
Phone (732) 899-0951

Other identifiers 1

IdentifierTypeStateIssuer
25MZ00000100OtherNJACUPUNCTURE LICENSE NUMBER

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
25MZ00000100NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1396035895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 RIVER RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422045",
            "telephone_number": "732-899-0951",
            "fax_number": "732-899-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 RIVER RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422045",
            "telephone_number": "732-899-0951",
            "fax_number": "732-899-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENAHAN",
        "first_name": "ROBERT",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.AC.,C.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00000100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE NUMBER",
            "identifier": "25MZ00000100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.