Individual provider Active NPI

Qingyan Zhao

  • Acupuncturist
  • Toms River, NJ
National Provider Identifier
1982152443
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00116800 Issued in NJ
Practice address
1868 Hooper Ave Ste C
Toms River, NJ 08753-8175
Phone
(732) 818-1999
Fax
(732) 286-2226
NPI assigned
Sep 13, 2016
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005663-1 NY
Acupuncturist 171100000X 25MZ00116800 NJ Primary

Addresses

Primary practice location

1868 Hooper Ave Ste C
Toms River, NJ 08753-8175

Mailing address

11 Windswept Rd
Holmdel, NJ 07733-1144
Phone (732) 335-1688

Other practice location 1

11 Windswept Rd
Holmdel, NJ 07733-1144
Phone (732) 335-1688

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00116800NJMDAcupuncturist
005663-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Wellness Rehabilitation Center LLC Acupuncturist CurrentSince Apr 17, 2022 Accepting new patients
Hope Acupuncture and Wellness LLC CurrentSince Sep 6, 2020 Accepting new patients
Menon Regenerative Institute LLC PastSince Mar 1, 2020 Accepting new patients
Acupuncture and Natural Medicine Clinic Acupuncturist Past Accepting new patients

Locations

190 State Route 18 N
Ste 200
East Brunswick, NJ 08816
Phone (732) 335-1688

1868 Hooper Ave
Ste C
Toms River, NJ 08753
Phone (732) 818-1999

Organizations & group practices 4

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1982152443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WINDSWEPT RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331144",
            "telephone_number": "732-335-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 HOOPER AVE STE C",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538175",
            "telephone_number": "732-818-1999",
            "fax_number": "732-286-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Windswept Rd",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331144",
            "country_code": "US",
            "telephone_number": "732-335-1688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "QINGYAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005663-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00116800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.