NPIMap

Organization Active NPI

Bamboo Wellness, LLC

  • Acupuncturist
  • Red Bank, NJ
National Provider Identifier
1588059125
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25 MZ00076600 Issued in NJ
Legal business name
BAMBOO WELLNESS, LLC
Practice address
170 Hwy 35
Red Bank, NJ 07701-5929
Phone
(732) 741-5772
Fax
(732) 741-5778
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. Marlena Szitanko, DIPL. AC., LAC.NPI 1497811863
Title
Acupuncturist/Owner
Phone
(732) 741-5772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25 MZ00076600 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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1588059125",
    "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": {
        "organization_name": "BAMBOO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "SZITANKO",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
        "authorized_official_telephone_number": "732-741-5772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DIPL. AC., LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25 MZ00076600",
            "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 Mar 31, 2015; 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.