Carly Druck, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00072200 Issued in NJ

Practice address

811 Amboy Ave
Suite 2
Edison, NJ 08837-3275

Phone

(609) 369-9241

NPI assigned

Jun 24, 2011

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carly Druck, LLC.

  • Exclusive Provider Organization
  • Cranford, NJ
  • NPI 1790139343
  NPD (past) Authorized official

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1780970053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LASALLE AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070161943",
            "telephone_number": "973-634-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 AMBOY AVE",
            "address_2": "SUITE 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373275",
            "telephone_number": "609-369-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCK",
        "first_name": "CARLY",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00072200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Wayne Graber and Dr. Brian M. Peters, PA (Bear Brook Commons Dental Group)
• Jasmine Drake
• Malynn Theresa Drake, D.C.
• Dreamland Anesthesia
• Cobi J. Dreher
• Drug Fair Group, Inc. (Drug Fair of Edison)
• DS Kim Chiro NJ PC
• Dswllc
• Maria Duardo
• Jessica Nicole Dudek

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.