Twelve Rivers Acupuncture, PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

TWELVE RIVERS ACUPUNCTURE, PC

Practice address

176 Mountain Ave Ste 2B
Hackettstown, NJ 07840-2434

Phone

(908) 850-1400

Fax

(908) 852-1402

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Beth Leatherman, L.ACNPI 1598054272

Title

Owner

Phone

(646) 691-7482

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Beth Leatherman, L.AC.

  • Acupuncturist
  • Hackettstown, NJ
  • NPI 1598054272
  NPD Authorized official

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1699438259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BLACK RIVER RD",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533067",
            "telephone_number": "646-691-7482",
            "fax_number": "908-852-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MOUNTAIN AVE STE 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402434",
            "telephone_number": "908-850-1400",
            "fax_number": "908-852-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE RIVERS ACUPUNCTURE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "LEATHERMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-691-7482",
        "authorized_official_name_prefix": "Ms.",
        "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": "ACUPUNCTURE LICENSE",
            "identifier": "25MZ00091300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pura Riza Pulido Torio, PHYSICAL THERAPIST
• Ankita Trivedi, MD
• Jennifer Jacobsen Trotte, RNFA
• Elefteria Chrisanthi Tsamutalis
• Nancy Tsen, RNC, IBCLC
• Universe Transportation Corp
• V. I. Optics
• Melissa Valent Altamura, M.ED., BCBA
• Jenna Van Valkenburg
• Gary Vander Vliet, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.