Active NPI
Melani Gerenia, LIC.AC.
- Acupuncturist
- Northborough, MA
National Provider Identifier
1902280787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 265038
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 265038 | MA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Koi Acupuncture, LLC | Current | 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.
-
- Health Service Clinic/Center
- Northborough, MA
- NPI 1013589845
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.