Organization Active NPI

Source Acupuncture, Inc.

  • Acupuncturist
  • Hoboken, NJ
National Provider Identifier
1649703398
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00048500 Issued in NJ
Legal business name
SOURCE ACUPUNCTURE, INC.
Practice address
106 4TH St
Hoboken, NJ 07030-4837
Phone
(201) 526-4684
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Ariele Myers, L.AC
Title
Owner, Acupuncturist
Phone
(201) 526-4684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 25MZ00048500 NJ Primary

Addresses

Primary practice location

106 4TH St
Hoboken, NJ 07030-4837

Mailing address

106 4TH St
Hoboken, NJ 07030-4837
Phone (201) 526-4684

Other identifiers 1

IdentifierTypeStateIssuer
1508079005OtherNPI

Other names 1

  • Ariele's Apothecary Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1649703398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 4TH ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304837",
            "telephone_number": "201-526-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 4TH ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304837",
            "telephone_number": "201-526-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ARIELE",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "201-526-4684",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00048500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508079005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ariele's Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 10, 2017; 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.