Michael Bonacci, M.S., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00122400 Issued in NJ

Practice address

20 Nassau St
Suite 206
Princeton, NJ 08542-4509

Phone

(609) 751-4654

Fax

(609) 228-5839

NPI assigned

Oct 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holistic Vision Acupuncture LLC

  • Acupuncturist
  • Princeton, NJ
  • NPI 1619286556
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1780134635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DEVONSHIRE CT",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282236",
            "telephone_number": "609-751-4654",
            "fax_number": "609-228-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NASSAU ST",
            "address_2": "SUITE 206",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424509",
            "telephone_number": "609-751-4654",
            "fax_number": "609-228-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACCI",
        "first_name": "MICHAEL",
        "credential": "M.S., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00122400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blossom Wellness, LLC
• Amanda Blum, PT
• Carol Blum, PSY.D.
• John Charles Bolen, DMD
• Samantha Bombel, LCSW
• Jamie Bonat
• Julie Tolmie Bond, LMFT
• Anthony Jake Boniello, M.D.
• Lauren Book, LPC
• Frank Victor McLean Booth, BM BCH

• All providers in Princeton, NJ
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.