Active NPI
Balanced Well Acupuncture
- Acupuncturist
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00089800
- Legal business name
- BALANCED WELL ACUPUNCTURE
- Practice address
- 23-08 Maple Ave
Fair Lawn, NJ 07410-1583 - Phone
- (201) 794-4500
- Fax
- (201) 794-4502
- NPI assigned
- May 2, 2016
- Last updated
- May 2, 2016
- Organization subpart
- Yes
- Parent organization
- BALANCED WELL MEDICAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roth Leon Riley, MD
- Title
- Director
- Phone
- (201) 794-4500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00089800 | NJ | Primary |
Addresses
Primary practice location
23-08 Maple Ave
Fair Lawn, NJ 07410-1583
Mailing address
23-08 Maple Ave
Fair Lawn, NJ 07410-1583
Phone (201) 794-4500
National Provider Directory
National Provider Directory- Part of
- Balanced Well Medical
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Fair Lawn, NJ
- NPI 1154704831
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Fair Lawn, NJ
- NPI 1831241264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462147200000",
"number": "1851746507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23-08 MAPLE AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101583",
"telephone_number": "201-794-4500",
"fax_number": "201-794-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23-08 MAPLE AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101583",
"telephone_number": "201-794-4500",
"fax_number": "201-794-4502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED WELL ACUPUNCTURE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BALANCED WELL MEDICAL",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "ROTH",
"authorized_official_middle_name": "LEON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "201-794-4500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00089800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.