Individual provider Active NPI

Kathleen R. Belko, D.C., L.AC.

  • Acupuncturist
  • Rio Grande, NJ
National Provider Identifier
1710099296
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
MZ00040 Issued in NJ
Practice address
204 Rio Grande Ave
Rio Grande, NJ 08242-2014
Phone
(856) 792-8021
Fax
(609) 770-5499
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC03359 NJ
Acupuncturist 171100000X MZ00040 NJ Primary

Addresses

Primary practice location

204 Rio Grande Ave
Rio Grande, NJ 08242-2014

Mailing address

204 Rio Grande Ave
Rio Grande, NJ 08242
Phone (856) 534-8327

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC03359NJMDChiropractor
MZ00040NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1710099296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RIO GRANDE AVE",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "08242",
            "telephone_number": "856-534-8327",
            "fax_number": "856-939-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 RIO GRANDE AVE",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082422014",
            "telephone_number": "856-792-8021",
            "fax_number": "609-770-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELKO",
        "first_name": "KATHLEEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC03359",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "MZ00040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.