Active NPI
Jenna Ferraiolo, L.AC.
- Acupuncturist
- Media, PA
National Provider Identifier
1821238262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- OM000247
- Practice address
- 107 Chesley Dr Ste 5C
Media, PA 19063-1760 - Phone
- (610) 674-0577
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12926 | CA | |
| Acupuncturist | 171100000X | OM000247 | PA | Primary |
Addresses
Primary practice location
107 Chesley Dr Ste 5C
Media, PA 19063-1760
Mailing address
107 Chesley Dr Ste 5C
Media, PA 19063-1760
Phone (610) 674-0577
Other names 1
- Jenna Ferraiolo
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
| License | State | Type | Specialty |
|---|---|---|---|
| OM000247 | PA | MD | Acupuncturist |
| 12926 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acacia Acupuncture and Wellness Center LLC | Acupuncturist | Current | Accepting new patients |
Locations
107 Chesley Dr
Ste 5C
Media, PA 19063
Phone (610) 368-9523
Organizations & group practices 1
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.
-
- Acupuncturist
- Media, PA
- NPI 1841802907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1821238262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CHESLEY DR STE 5C",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631760",
"telephone_number": "610-674-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHESLEY DR STE 5C",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631760",
"telephone_number": "610-674-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRAIOLO",
"first_name": "JENNA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "12926",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "PA",
"license": "OM000247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "FERRAIOLO",
"credential": "L.AC.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.