Active NPI
Maria Ines Trivino, L.AC
- Acupuncturist
- East Brunswick, NJ
National Provider Identifier
1962951699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00120800
- Practice address
- 180 Tices LN. BLDG a. Ste 203
East Brunswick, NJ 08816-1345 - Phone
- (732) 898-0471
- Fax
- (732) 898-0463
- NPI assigned
- Sep 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005721 | NY | |
| Acupuncturist | 171100000X | 25MZ00120800 | NJ | Primary |
Addresses
Primary practice location
180 Tices LN. BLDG a. Ste 203
East Brunswick, NJ 08816-1345
Mailing address
71 Canterbury Rd
East Brunswick, NJ 08816-4263
Phone (732) 898-0471
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 |
|---|---|---|---|
| 005721 | NY | MD | Psychologist |
| 25MZ00120800 | NJ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511395200000",
"number": "1962951699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 CANTERBURY RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088164263",
"telephone_number": "732-898-0471",
"fax_number": "732-898-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 TICES LN. BLDG A. STE 203",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161345",
"telephone_number": "732-898-0471",
"fax_number": "732-898-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVINO",
"first_name": "MARIA",
"middle_name": "INES",
"name_prefix": "Ms.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2017-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005721",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00120800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.