Individual provider Active NPI

Marlena Kathleen Szitanko, LIC. AC.

  • Acupuncturist
  • Red Bank, NJ
National Provider Identifier
1497811863
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00076600 Issued in NJ
Practice address
170 Hwy 35
Red Bank, NJ 07701-5929
Phone
(732) 741-5772
Fax
(732) 741-5778
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00076600 NJ Primary

Addresses

Primary practice location

170 Hwy 35
Red Bank, NJ 07701-5929

Mailing address

170 Hwy 35
Red Bank, NJ 07701-5929
Phone (732) 741-5772

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
25MZ00076600NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1497811863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HWY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015929",
            "telephone_number": "732-741-5772",
            "fax_number": "732-741-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HWY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015929",
            "telephone_number": "732-741-5772",
            "fax_number": "732-741-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZITANKO",
        "first_name": "MARLENA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LIC. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00076600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.