Individual provider Active NPI

Nivedita Revankar Londhe, L.AC.

  • Acupuncturist
  • Somerset, NJ
National Provider Identifier
1639381684
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00041000 Issued in NJ
Practice address
1323 Route 27
Somerset, NJ 08873
Phone
(732) 662-0539
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00041000 NJ Primary

Addresses

Primary practice location

1323 Route 27
Somerset, NJ 08873

Mailing address

41 Woodhill St
Somerset, NJ 08873-4661
Phone (732) 662-0539

Other names 1

  • Miss Nita Vidyadhar Revankar Professional name

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
25MZ00041000NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Health Performance Institute LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1639381684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WOODHILL ST",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734661",
            "telephone_number": "732-662-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 ROUTE 27",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-662-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDHE",
        "first_name": "NIVEDITA",
        "middle_name": "REVANKAR",
        "name_prefix": "Miss",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00041000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITA",
            "last_name": "REVANKAR",
            "middle_name": "VIDYADHAR",
            "prefix": "MISS",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.