Individual provider Active NPI

Susan J Colombero, LIC. ACUPUNCTURIST

  • Acupuncturist
  • Burlington, MA
National Provider Identifier
1447440078
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
219123 Issued in MA
Practice address
7 New England Executive Park
RSM McGladray (Paul Gallagher) Ste 320
Burlington, MA 01803-5010
Phone
(781) 685-3506
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 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 219123 MA Primary

Addresses

Primary practice location

7 New England Executive Park
RSM McGladray (Paul Gallagher) Ste 320
Burlington, MA 01803-5010

Mailing address

7 New England Executive Park
RSM McGladray (Paul Gallagher) Ste 320
Burlington, MA 01803-5010
Phone (781) 685-3506

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
219123MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1447440078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NEW ENGLAND EXECUTIVE PARK",
            "address_2": "RSM MCGLADRAY (PAUL GALLAGHER) STE 320",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035010",
            "telephone_number": "781-685-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NEW ENGLAND EXECUTIVE PARK",
            "address_2": "RSM MCGLADRAY (PAUL GALLAGHER) STE 320",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035010",
            "telephone_number": "781-685-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMBERO",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "LIC. ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "219123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.