Individual provider Active NPI

Irina None Panepinto, L.AC.,PH.D.

  • Acupuncturist
  • North Bergen, NJ
National Provider Identifier
1396757290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00046100 Issued in NJ
Practice address
6115 Granton Ave Apt 5D
North Bergen, NJ 07047-6606
Phone
(201) 264-1516
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00046100 NJ Primary

Addresses

Primary practice location

6115 Granton Ave Apt 5D
North Bergen, NJ 07047-6606

Mailing address

6115 Granton Ave Apt 5D
North Bergen, NJ 07047-6606
Phone (201) 264-1516

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25MZ00046100NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396757290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 GRANTON AVE APT 5D",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476606",
            "telephone_number": "201-264-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 GRANTON AVE APT 5D",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476606",
            "telephone_number": "201-264-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANEPINTO",
        "first_name": "IRINA",
        "middle_name": "NONE",
        "name_prefix": "Mrs.",
        "credential": "L.AC.,PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00046100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.