Individual provider Active NPI

Charles Frederick Stueber Jr., DAC, LAC, DIPL. AC

  • Acupuncturist
  • Hamilton, NJ
National Provider Identifier
1942356845
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00010500 Issued in NJ
Practice address
1245 Whitehorse Mercerville Rd
Ste 408
Hamilton, NJ 08619-3831
Phone
(609) 588-8655
Fax
(609) 588-8016
NPI assigned
Jan 25, 2007
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00010500 NJ Primary
Acupuncturist 171100000X 001074-1 NY

Addresses

Primary practice location

1245 Whitehorse Mercerville Rd
Ste 408
Hamilton, NJ 08619-3831

Mailing address

1245 Whitehorse Mercerville Rd
Ste 408
Hamilton, NJ 08619-3831
Phone (609) 588-8655

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
25MZ00010500NJMDAcupuncturist
001074-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton West Windsor Acupuncture, LLC Acupuncturist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1942356845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "STE 408",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-588-8655",
            "fax_number": "609-588-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "STE 408",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-588-8655",
            "fax_number": "609-588-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEBER",
        "first_name": "CHARLES",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DAC, LAC, DIPL. AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00010500",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001074-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.