NPIMap

Organization Active NPI

Northeastern Acupuncture

  • Acupuncturist
  • Ridgefield, NJ
National Provider Identifier
1467640037
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00067300 Issued in NJ
Legal business name
NORTHEASTERN ACUPUNCTURE
Practice address
579 Bergen Blvd
Ridgefield, NJ 07657-2032
Phone
(201) 388-0535
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Jannet Molina-ManteigaNPI 1770648008
Title
Owner
Phone
(201) 388-0535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 25MZ00067300 NJ Primary

Addresses

Primary practice location

579 Bergen Blvd
Ridgefield, NJ 07657-2032

Mailing address

409 Johned Rd
Northvale, NJ 07647-1111
Phone (201) 388-0535

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1467640037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 JOHNED RD",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471111",
            "telephone_number": "201-388-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572032",
            "telephone_number": "201-388-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "MOLINA-MANTEIGA",
        "authorized_official_first_name": "JANNET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-388-0535"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00067300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.