NPIMap

Organization Active NPI

Haven Wellness

  • Acupuncturist
  • Philadelphia, PA
National Provider Identifier
1477056927
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK000474L Issued in PA
Legal business name
HAVEN WELLNESS
Practice address
1639 N Hancock St Ste 102
Philadelphia, PA 19122-3133
Phone
(267) 831-2081
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Jason Rinker, LACNPI 1831222587
Title
Acupuncturist
Phone
(215) 964-9056

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 AK000474L PA Primary

Addresses

Primary practice location

1639 N Hancock St Ste 102
Philadelphia, PA 19122-3133

Mailing address

1639 N Hancock St Ste 102
Philadelphia, PA 19122-3133
Phone (267) 831-2081

National Provider Directory

National Provider Directory

Locations

1639 N Hancock St
Ste 102
Philadelphia, PA 19122
Phone (215) 964-9056

Practitioners & affiliated clinicians

Practitioners 3

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": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1477056927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 N HANCOCK ST STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223133",
            "telephone_number": "267-831-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 N HANCOCK ST STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223133",
            "telephone_number": "267-831-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "RINKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "215-964-9056",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000474L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.