Lifestyle Acupuncture of New Jersey

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00095600 Issued in NJ

Legal business name

LIFESTYLE ACUPUNCTURE OF NEW JERSEY

Practice address

471 Glen Rd
Sparta, NJ 07871-3114

Phone

(973) 919-6674

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kayleigh Lavender Callan, L.AC.

Title

Owner/Licensed Acupuncturist

Phone

(973) 919-6674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1861940678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 GLEN RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713114",
            "telephone_number": "973-919-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 GLEN RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713114",
            "telephone_number": "973-919-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE ACUPUNCTURE OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "KAYLEIGH",
        "authorized_official_middle_name": "LAVENDER",
        "authorized_official_title_or_position": "OWNER/LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "973-919-6674",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00095600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.