Qingyan Zhao

Key facts

NPI

1982152443

Entity type

Individual (NPI type 1)

Primary specialty

Acupuncturist 171100000X

License

25MZ00116800 (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

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Hope Acupuncture and Wellness LLC Professional Counselor · East Brunswick, NJ · NPI 1861006629
  NPD Authorized official
• Acupuncture and Natural Medicine Clinic Acupuncturist · Holmdel, NJ · NPI 1780127175
  NPD (past) Authorized official ACUPUNCTURIST
• Maximum Wellness Rehabilitation Center LLC Physical Therapist · Toms River, NJ · NPI 1285147017
  NPD ACUPUNCTURIST
• Menon Regenerative Institute LLC Specialist · Millburn, NJ · NPI 1306317789
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2020.

{
    "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": []
}

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• Yilun Zhang, MD
• Zhen Zhang, M.D
• Michael A. Zielinski II, APN, C
• Daniel E Zietchick, LCSW
• Sarah Rose Zimmer, SLP
• Barry Lewis Zimmerman, D.O.
• Kimberly Mae Zimmermann

All providers in Toms River, NJ · Acupuncturist in New Jersey