Individual provider Active NPI

Melani Gerenia, LIC.AC.

  • Acupuncturist
  • Northborough, MA
National Provider Identifier
1902280787
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
265038 Issued in MA
Practice address
106 W Main St Ste 3
Northborough, MA 01532-1824
Phone
(774) 314-2499
NPI assigned
Jul 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 265038 MA Primary

Addresses

Primary practice location

106 W Main St Ste 3
Northborough, MA 01532-1824

Mailing address

123 Chapin Rd Apt 2a
Hudson, MA 01749-2761
Phone (774) 314-2499

Other practice location 1

34 Federal Furnace Rd
Plymouth, MA 02360-4660
Phone (617) 688-1128

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
265038MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Koi Acupuncture, LLC CurrentSince Jul 20, 2021 Accepting new patients

Locations

106 W Main St
Ste 3
Northborough, MA 01532
Phone (774) 314-2499

Organizations & group practices 1

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": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1902280787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHAPIN RD APT 2A",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492761",
            "telephone_number": "774-314-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST STE 3",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321824",
            "telephone_number": "774-314-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Federal Furnace Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604660",
            "country_code": "US",
            "telephone_number": "617-688-1128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERENIA",
        "first_name": "MELANI",
        "credential": "LIC.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-12",
        "last_updated": "2021-07-06",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "265038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.