Individual provider Active NPI

Alan M Genitempo, L.AC.

  • Acupuncturist
  • Nutley, NJ
National Provider Identifier
1770041253
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00136700 Issued in NJ
Practice address
259 Washington Ave
Nutley, NJ 07110-1997
Phone
(973) 868-7001
NPI assigned
Mar 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00136700 NJ Primary

Addresses

Primary practice location

259 Washington Ave
Nutley, NJ 07110-1997

Mailing address

208 Bloomfield Ave Apt 204
Bloomfield, NJ 07003-5795
Phone (973) 868-7001

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
25MZ00136700NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1770041253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BLOOMFIELD AVE APT 204",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035795",
            "telephone_number": "973-868-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 WASHINGTON AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101997",
            "telephone_number": "973-868-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENITEMPO",
        "first_name": "ALAN",
        "middle_name": "M",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00136700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.