Tao Clinic of Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

TAO CLINIC OF ACUPUNCTURE

Practice address

999 Route 73 N Ste 200
Marlton, NJ 08053-1227

Phone

(856) 802-6888

Fax

(856) 802-6878

NPI assigned

Jan 25, 2013

Organization subpart

No

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

Authorized official

Name

Lan Miao

Title

Chief Financial Officer

Phone

(267) 721-2288

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Tao Clinic of Acupuncture2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tao Integrative Acupuncture

  • Acupuncturist
  • Bryn Mawr, PA
  • NPI 1780024042
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jingduan Yang, M.D.

  • Psychiatry Physician
  • Bryn Mawr, PA
  • NPI 1356566905

  NJ

  Medicare reassignment NPD
• Edmund Gibson, L.AC

  • Acupuncturist
  • Cape May Court House, NJ
  • NPI 1376803734
  NPD (past)
• Stephanie Fiduk, FNP

  • Primary Care Nurse Practitioner
  • Philadelphia, PA
  • NPI 1144076472
  NPD (past)
• Linda Theresa Xuen Yen Nguyen, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1548041619
  NPD (past)
• Melody Shuli Shen-Faulstick, OM, L.AC.

  • Acupuncturist
  • Philadelphia, PA
  • NPI 1871043075
  NPD (past)
• Kristen Voget, D.AC. L.AC.

  • Acupuncturist
  • Philadelphia, PA
  • NPI 1689391211
  NPD (past)

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1457699480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ROUTE 73 N STE 200",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531227",
            "telephone_number": "856-802-6888",
            "fax_number": "856-802-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ROUTE 73 N STE 200",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531227",
            "telephone_number": "856-802-6888",
            "fax_number": "856-802-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Walnut St Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191035410",
            "country_code": "US",
            "telephone_number": "215-600-0062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 E Haverford Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103845",
            "country_code": "US",
            "telephone_number": "610-520-1128",
            "fax_number": "610-520-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAO CLINIC OF ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "MIAO",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "267-721-2288"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Take Control Mental Health Solutions
• Emily Takhtarov
• Selorm Takyi, MD
• Jean Tama, CRNA
• Kasey Alexis Tankelewicz, CRNP
• Tao Integrative Medicine
• Marisa Nicole Tate, OTR/L
• Amy L Tatham, PMHNP, BC
• Taylor Wegmann LLC
• Paulette Taylor, M.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.