Active NPI
Jaclyn Vanderbeken, LAC
- Acupuncturist
- Red Bank, NJ
National Provider Identifier
1669990214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00126800
- Practice address
- 130 Maple Avenue
Building 9, Suite 9
Red Bank, NJ 07701 - Phone
- (732) 889-9228
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00126800 | NJ | Primary |
Addresses
Primary practice location
130 Maple Avenue
Building 9, Suite 9
Red Bank, NJ 07701
Mailing address
130 Maple Avenue
Building 9, Suite 9
Red Bank, NJ 07701
Other practice location 1
448 High Street APT 2
Long Branch, NJ 07740
Phone (908) 309-1316
Other practice location 2
448 High Street APT 2
Long Branch, NJ 07740
Phone (908) 309-1316
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00126800 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flow Point Acupuncture LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Red Bank, NJ
- NPI 1235649088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669990214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MAPLE AVENUE",
"address_2": "BUILDING 9, SUITE 9",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAPLE AVENUE",
"address_2": "BUILDING 9, SUITE 9",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-889-9228"
}
],
"practiceLocations": [
{
"address_1": "448 High Street APT 2",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "07740",
"country_code": "US",
"telephone_number": "908-309-1316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "448 High Street APT 2",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "07740",
"country_code": "US",
"telephone_number": "908-309-1316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERBEKEN",
"first_name": "JACLYN",
"name_prefix": "Mrs.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00126800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.