Individual provider Active NPI

Ting M Chiao, LAC

  • Acupuncturist
  • Old Tappan, NJ
National Provider Identifier
1790974400
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0034641 Issued in NY
Practice address
11 Leoson Pkwy
Old Tappan, NJ 07675-6914
Phone
(201) 725-7048
Fax
(201) 666-0452
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0034641 NY Primary
Acupuncturist 171100000X 25MZ00054300 NJ

Addresses

Primary practice location

11 Leoson Pkwy
Old Tappan, NJ 07675-6914

Mailing address

11 Leoson Pkwy
Old Tappan, NJ 07675-6914
Phone (201) 725-7048

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
25MZ00054300NJMDAcupuncturist
0034641NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1790974400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LEOSON PKWY",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076756914",
            "telephone_number": "201-725-7048",
            "fax_number": "201-666-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LEOSON PKWY",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076756914",
            "telephone_number": "201-725-7048",
            "fax_number": "201-666-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAO",
        "first_name": "TING",
        "middle_name": "M",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0034641",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00054300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Tappan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.