Acumeridian Wellness LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00102500 Issued in NJ

Legal business name

ACUMERIDIAN WELLNESS LLC

Practice address

242 Rte 79 N
Suite 11
Morganville, NJ 07751-2078

Phone

(732) 858-1322

Fax

(855) 755-7778

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Carrie Koo, DACMNPI 1073943601

Title

Owner

Phone

(732) 858-1322

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carrie M Koo, L.AC

  • Acupuncturist
  • Morganville, NJ
  • NPI 1073943601
  NPD (past) Authorized official

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1669913729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 RTE 79 N",
            "address_2": "SUITE 11",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512078",
            "telephone_number": "732-858-1322",
            "fax_number": "855-755-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 RTE 79 N",
            "address_2": "SUITE 11",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512078",
            "telephone_number": "732-858-1322",
            "fax_number": "855-755-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUMERIDIAN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-858-1322",
        "authorized_official_credential": "DACM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00102500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.