Individual provider Active NPI

Lynne T Martin

  • Acupuncturist
  • Monroe Township, NJ
National Provider Identifier
1508016031
Registry record updated Sep 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
KO000622 Issued in PA
Practice address
187 Valencia Dr
Monroe Township, NJ 08831-5974
Phone
(609) 240-7281
NPI assigned
Sep 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X KO000622 PA Primary
Acupuncturist 171100000X 003858-1 NY

Addresses

Primary practice location

187 Valencia Dr
Monroe Township, NJ 08831-5974

Mailing address

187 Valencia Dr
Monroe Township, NJ 08831-5974
Phone (609) 240-7281

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
KO000622PAMDAcupuncturist
003858-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221868800000",
    "number": "1508016031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 VALENCIA DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315974",
            "telephone_number": "609-240-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 VALENCIA DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315974",
            "telephone_number": "609-240-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LYNNE",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "KO000622",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003858-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; 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.