Active NPI
Matthew Branham, MACOM, LAC
- Acupuncturist
- Hamilton, NJ
National Provider Identifier
1437468790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00090500
- Practice address
- 2131 Route 33, Lexington Square
Hamilton, NJ 08690 - Phone
- (609) 568-6300
- NPI assigned
- Oct 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00090500 | NJ | Primary |
Addresses
Primary practice location
2131 Route 33, Lexington Square
Hamilton, NJ 08690
Mailing address
2131 Route 33, Lexington Square
Hamilton, NJ 08690
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00090500 | NJ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1437468790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 ROUTE 33, LEXINGTON SQUARE",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "08690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 ROUTE 33, LEXINGTON SQUARE",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "08690",
"telephone_number": "609-568-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANHAM",
"first_name": "MATTHEW",
"credential": "MACOM, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-04",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00090500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.