Aspasia Sue Disakias, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

NJDCATEMP-022286 Issued in NJ

Practice address

55-77 Schanck Rd Ste B-17
Freehold, NJ 07728-2964

Phone

(732) 414-6060

Fax

(732) 414-6061

NPI assigned

Jun 10, 2020

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1497370084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 W PARK AVE",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551271",
            "telephone_number": "732-856-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-77 SCHANCK RD STE B-17",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-414-6060",
            "fax_number": "732-414-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISAKIAS",
        "first_name": "ASPASIA",
        "middle_name": "SUE",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "NJDCATEMP-022286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmiller@gsptgfreehold.com",
            "affiliation": "Y",
            "affiliationName": "Garden State Physical Therapy Group PC",
            "address_1": "55-77 Schanck Rd Ste B-17",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077282964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jessica Distefano, MS, LAC
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• Denise Marie Dolan, RN APNC

• Acupuncturist in Freehold, NJ
• Providers in Freehold, 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 27, 2023; 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.