Individual provider Active NPI

Michelle Masangkay, L.AC.

  • Acupuncturist
  • Little Ferry, NJ
National Provider Identifier
1467673855
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00145200 Issued in NJ
Practice address
159 Liberty St
Little Ferry, NJ 07643-1858
Phone
(201) 388-7339
NPI assigned
May 1, 2007
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00145200 NJ Primary

Addresses

Primary practice location

159 Liberty St
Little Ferry, NJ 07643-1858

Mailing address

159 Liberty St
Little Ferry, NJ 07643-1858
Phone (201) 388-7339

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
25MZ00145200NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Acupuncture Studio Inc. Acupuncturist CurrentSince Aug 23, 2020 Accepting new patients
Core Physical Therapy and Sports Performance PastSince Sep 3, 2019 Accepting new patients

Locations

2369 Ocean Ave
Ste 2
San Francisco, CA 94127
Phone (415) 239-9700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1467673855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 LIBERTY ST",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431858",
            "telephone_number": "201-388-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 LIBERTY ST",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431858",
            "telephone_number": "201-388-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASANGKAY",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00145200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Ferry, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.