Individual provider Active NPI

Alys Guttenplan

  • Acupuncturist
  • Hoboken, NJ
National Provider Identifier
1548508674
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00105600 Issued in NJ
Practice address
460 5TH St Apt 2E
Hoboken, NJ 07030-2636
Phone
(917) 204-9377
NPI assigned
Jan 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00105600 NJ Primary
Acupuncturist 171100000X 004442 NY

Addresses

Primary practice location

460 5TH St Apt 2E
Hoboken, NJ 07030-2636

Mailing address

460 5TH St Apt 2E
Hoboken, NJ 07030-2636
Phone (191) 720-4937

Other practice location 1

1 Washington Square Vlg
Apartment 9r
New York, NY 10012-1632
Phone (917) 204-9377

Other identifiers 1

IdentifierTypeStateIssuer
004442OtherNYACUPUNCTURE LICENSE

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
25MZ00105600NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1548508674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 5TH ST APT 2E",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302636",
            "telephone_number": "191-720-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 5TH ST APT 2E",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302636",
            "telephone_number": "917-204-9377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Washington Square Vlg",
            "address_2": "Apartment 9r",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100121632",
            "country_code": "US",
            "telephone_number": "917-204-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTTENPLAN",
        "first_name": "ALYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00105600",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "004442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.