Jezabelle Enriquez Kenealy, MSOM, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00155300 Issued in NJ

Practice address

28 Campus Dr
Edison, NJ 08837-3911

Phone

(407) 454-2885

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1457016602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HILLTOP RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202803",
            "telephone_number": "407-454-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CAMPUS DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373911",
            "telephone_number": "407-454-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEALY",
        "first_name": "JEZABELLE",
        "middle_name": "ENRIQUEZ",
        "credential": "MSOM, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00155300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Radptnj.com",
            "affiliation": "N",
            "address_1": "28 Campus Dr",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088373911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Varinder Kaur
• Olivia Grace Kearney
• Kei 2 Communication, LLC
• Malvin S Keller, M.D.
• Allison Kellish
• Kennedy Pharmacy
• Kenneth J Lichtman MD LLC
• Aaron Kerzner, RBT
• Kirishani Kesavan
• Kespra Medical Center LLC

• Acupuncturist in Edison, NJ
• Providers in Edison, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.