Amy Soo Kemper, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00171300 Issued in NJ

Practice address

87 Main Street
Gladstone, NJ 07934

Phone

(646) 801-1308

NPI assigned

May 1, 2024

Last updated

May 1, 2024By the provider in NPPES

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

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1508613241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARRY RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073152",
            "telephone_number": "848-221-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAIN STREET",
            "city": "GLADSTONE",
            "state": "NJ",
            "postal_code": "07934",
            "telephone_number": "646-801-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "AMY",
        "middle_name": "SOO",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00171300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda R Degaeta, MD
• Glen Depino, ATC
• Donna Amundson LCSW
• Faith and Grace Psychothereapy
• Jeffrey Hammond
• Sarah Meinwieser, M.A., BCBA
• Brittany Messuti, LC
• Christina Jo Smith, MS, RD
• Dominica Sourial, DPT
• Elyse A Warns, MS, ATC

• Acupuncturist in Gladstone, NJ
• Providers in Gladstone, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.