Individual provider Active NPI

Rosemarie Flom Cisneros, LAC

  • Acupuncturist
  • Harrison, NJ
National Provider Identifier
1689029985
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00115300 Issued in NJ
Practice address
38 Washington St
Harrison, NJ 07029-1832
Phone
(917) 407-2292
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
25MZ00115300NJMDAcupuncturist
005657-1NYMDAcupuncturist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005657-1 NY
Acupuncturist 171100000X 25MZ00115300 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

38 Washington St
Harrison, NJ 07029-1832

Mailing address

38 Washington St
Harrison, NJ 07029-1832
Phone (917) 407-2292

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2016.

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1689029985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WASHINGTON ST",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291832",
            "telephone_number": "917-407-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 WASHINGTON ST",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291832",
            "telephone_number": "917-407-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOM CISNEROS",
        "first_name": "ROSEMARIE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005657-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00115300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.