Nico Gladfelter, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00074100 Issued in NJ

Practice address

31 White Swan Way
Brick, NJ 08723-6285

Phone

(760) 846-2873

NPI assigned

Nov 17, 2008

Last updated

Mar 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicolaus Gladfelter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1780839852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WHITE SWAN WAY",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236285",
            "telephone_number": "732-965-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WHITE SWAN WAY",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236285",
            "telephone_number": "760-846-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADFELTER",
        "first_name": "NICO",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12575",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00074100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLAUS",
            "last_name": "GLADFELTER",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John H Girges
• Megan Carol Gitto, LAC
• Timothy Paul Gitto, LCSW
• Cathleen Anne Givney, M.S., CCC-SLP
• Admasu N Gizachew
• Lisa Ann Glassford, BCBA
• Amanda Nicole Glynn
• Emily Goeller, LSW
• Arlene Goldfarb-Schwartz
• Lori Goldman, LPC

• Acupuncturist in Brick, NJ
• Providers in Brick, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.