Tara Vega Castro, LI.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00110000 Issued in NJ

Practice address

860 Route 168 Ste 104
Turnersville, NJ 08012-3224

Phone

(609) 929-9343

Fax

(856) 401-9551

NPI assigned

Mar 2, 2015

Last updated

Feb 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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

• Tara Vega Castro Inc

  • Acupuncturist
  • Turnersville, NJ
  • NPI 1235900986
  NPD Authorized official

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1639561558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168 STE 104",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123224",
            "telephone_number": "609-929-9343",
            "fax_number": "856-401-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168 STE 104",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123224",
            "telephone_number": "609-929-9343",
            "fax_number": "856-401-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA CASTRO",
        "first_name": "TARA",
        "credential": "LI.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00110000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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.