Absolute Balance Acupuncture Clinic LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00055800 Issued in NJ

Legal business name

ABSOLUTE BALANCE ACUPUNCTURE CLINIC LLC

Practice address

25-15 Fair Lawn Ave
1St Floor
Fair Lawn, NJ 07410-3434

Phone

(201) 916-0509

Fax

(201) 815-2073

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Taya VolinNPI 1932306370

Title

President

Phone

(201) 916-0509

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Taya Volin, L.AC., DIPL. O.M.

  • Acupuncturist
  • Fair Lawn, NJ
  • NPI 1932306370
  NPD (past) Authorized official
• Vincent Federico, ACUPUNCTURIST

  • Acupuncturist
  • Fair Lawn, NJ
  • NPI 1073005245
  NPD (past)

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1730486341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILSON PL",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242321",
            "telephone_number": "201-916-0509",
            "fax_number": "201-815-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25-15 FAIR LAWN AVE",
            "address_2": "1ST FLOOR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103434",
            "telephone_number": "201-916-0509",
            "fax_number": "201-815-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE BALANCE ACUPUNCTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "VOLIN",
        "authorized_official_first_name": "TAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-916-0509"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00055800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.