Active Acupuncture NJ

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ACTIVE ACUPUNCTURE NJ

Practice address

146 Chestnut Ridge Rd
Saddle River, NJ 07458-2821

Phone

(201) 956-2516

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Heather Viccaro Balestrieri, L.AC.NPI 1194903872

Title

Acupuncturist/Owner

Phone

(201) 956-2516

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Viccaro Balestrieri, L.AC.

  • Acupuncturist
  • Saddle River, NJ
  • NPI 1194903872
  NPD (past) Authorized official

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1649835802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GARDEN AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521918",
            "telephone_number": "201-956-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CHESTNUT RIDGE RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582821",
            "telephone_number": "201-956-2516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sears Dr",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523515",
            "country_code": "US",
            "telephone_number": "201-956-2516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE ACUPUNCTURE NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "BALESTRIERI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "VICCARO",
        "authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
        "authorized_official_telephone_number": "201-956-2516",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATHER VICCARO BALESTRIERI",
            "identifier": "1194903872",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Saddle River, NJ
• Providers in Saddle River, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.