Individual provider Active NPI

Shara Marie Resende, M.S., L.AC., C.A.

  • Acupuncturist
  • Denville, NJ
National Provider Identifier
1902039035
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00068200 Issued in NJ
Practice address
95 E Main St
Suite 107
Denville, NJ 07834-2158
Phone
(973) 784-4273
Fax
(973) 784-4274
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00068200 NJ Primary
Acupuncturist 171100000X 004099-1 NY

Addresses

Primary practice location

95 E Main St
Suite 107
Denville, NJ 07834-2158

Mailing address

95 E Main St
Suite 107
Denville, NJ 07834-2158
Phone (973) 784-4273

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25MZ00068200NJMDAcupuncturist
004099-1NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1902039035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E MAIN ST",
            "address_2": "SUITE 107",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342158",
            "telephone_number": "973-784-4273",
            "fax_number": "973-784-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E MAIN ST",
            "address_2": "SUITE 107",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342158",
            "telephone_number": "973-784-4273",
            "fax_number": "973-784-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESENDE",
        "first_name": "SHARA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.AC., C.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00068200",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004099-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.