Organization Active NPI

New Radiance Antiaging Institute, Inc.

  • Acupuncturist
  • Jacksonville, FL
National Provider Identifier
1770021529
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3358 Issued in FL
Legal business name
NEW RADIANCE ANTIAGING INSTITUTE, INC.
Practice address
3955 Riverside Ave
Suite 351
Jacksonville, FL 32205-3312
Phone
(904) 483-3841
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Dr. Christina Marie Garoppo, DAOM
Title
Ceo
Phone
(904) 483-3841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP3358 FL Primary

Addresses

Primary practice location

3955 Riverside Ave
Suite 351
Jacksonville, FL 32205-3312

Mailing address

3955 Riverside Ave
Suite 351
Jacksonville, FL 32205-3312
Phone (904) 483-3841

National Provider Directory

National Provider Directory

Locations

3955 Riverside Ave
Ste 351
Jacksonville, FL 32205
Phone (904) 483-3841

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1770021529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 RIVERSIDE AVE",
            "address_2": "SUITE 351",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322053312",
            "telephone_number": "904-483-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 RIVERSIDE AVE",
            "address_2": "SUITE 351",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322053312",
            "telephone_number": "904-483-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RADIANCE ANTIAGING INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "GAROPPO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-483-3841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.