Wandering Dragon Acupuncture Service, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00059200 Issued in NJ

Legal business name

WANDERING DRAGON ACUPUNCTURE SERVICE, LLC

Practice address

7 Bridgeton Ave
Bridgeton, NJ 08302-7267

Phone

(856) 694-1551

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Marie King, ND, L.ACNPI 1609190891

Title

Owner

Phone

(856) 694-1551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Marie King, ND, L. AC

  • Acupuncturist
  • Bridgeton, NJ
  • NPI 1609190891
  NPD Authorized official

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1821358060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRIDGETON AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083027267",
            "telephone_number": "856-694-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BRIDGETON AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083027267",
            "telephone_number": "856-694-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERING DRAGON ACUPUNCTURE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-694-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00059200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co.
• Brian Paul Walker, LSW
• Melisa Walker, LCSW
• Elizabeth Ann Wangstrom, DMD
• Brandy Weikel
• Mary Wentz, LPN
• Anna E Wentzell, PTA
• Amy N White, PHYSICAL THERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.