Individual provider Active NPI

Diane Ailey, L.AC.

  • Acupuncturist
  • Pennington, NJ
National Provider Identifier
1710307228
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00104500 Issued in NJ
Practice address
114 Straube Center Blvd
Suite K 6/7
Pennington, NJ 08534-1450
Phone
(609) 954-5166
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00104500 NJ Primary

Addresses

Primary practice location

114 Straube Center Blvd
Suite K 6/7
Pennington, NJ 08534-1450

Mailing address

114 Straube Center Blvd
Suite K 6/7
Pennington, NJ 08534-1450
Phone (609) 954-5166

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
25MZ00104500NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1710307228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 STRAUBE CENTER BLVD",
            "address_2": "SUITE K 6/7",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341450",
            "telephone_number": "609-954-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 STRAUBE CENTER BLVD",
            "address_2": "SUITE K 6/7",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341450",
            "telephone_number": "609-954-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AILEY",
        "first_name": "DIANE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00104500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.