Individual provider Active NPI

Marcus Regino, LAC

  • Acupuncturist
  • Caldwell, NJ
National Provider Identifier
1891674271
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00177500 Issued in NJ
Practice address
519 Bloomfield Ave Ste L21
Caldwell, NJ 07006-5510
Phone
(973) 228-8600
NPI assigned
Aug 29, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00177500 NJ Primary

Addresses

Primary practice location

519 Bloomfield Ave Ste L21
Caldwell, NJ 07006-5510

Mailing address

71 Terrace Ave
West Orange, NJ 07052-3654
Phone (862) 704-0023

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
25MZ00177500NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Acupuncture Caldwell LLC Acupuncturist CurrentSince Sep 28, 2025 Accepting new patients
Advanced Chiropractic Rehab Center PC Acupuncturist CurrentSince Sep 3, 2025 Accepting new patients

Locations

519 Bloomfield Ave
Ste L21
Caldwell, NJ 07006
Phone (973) 228-8600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1891674271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 TERRACE AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523654",
            "telephone_number": "862-704-0023",
            "fax_number": "862-704-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BLOOMFIELD AVE STE L21",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065510",
            "telephone_number": "973-228-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGINO",
        "first_name": "MARCUS",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00177500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.