Individual provider Active NPI

Jessica I. Yunker, M.S., L.AC.

  • Acupuncturist
  • Maplewood, NJ
National Provider Identifier
1659512416
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00112900 Issued in NJ
Practice address
697 Valley St.
Suite B2 Wellspring Health Collective
Maplewood, NJ 07040-2802
Phone
(917) 596-6385
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00112900 NJ Primary
Acupuncturist 171100000X 003237 NY

Addresses

Primary practice location

697 Valley St.
Suite B2 Wellspring Health Collective
Maplewood, NJ 07040-2802

Mailing address

697 Valley St.
Suite B2 Wellspring Health Collective
Maplewood, NJ 07040-2802
Phone (917) 596-6385

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
003237NYMDOptometrist
25MZ00112900NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1659512416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 VALLEY ST.",
            "address_2": "SUITE B2 WELLSPRING HEALTH COLLECTIVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402802",
            "telephone_number": "917-596-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 VALLEY ST.",
            "address_2": "SUITE B2 WELLSPRING HEALTH COLLECTIVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402802",
            "telephone_number": "917-596-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNKER",
        "first_name": "JESSICA",
        "middle_name": "I.",
        "credential": "M.S., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00112900",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.