NPIMap

Organization Active NPI

Soul Sprout Family Acupuncture LLC

  • Acupuncturist
  • Millburn, NJ
National Provider Identifier
1992260822
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SOUL SPROUT FAMILY ACUPUNCTURE LLC
Practice address
10 E Willow St
Millburn, NJ 07041-1417
Phone
(201) 563-0659
NPI assigned
Feb 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Maureen Giese, DAOM, LACNPI 1619243862
Title
Owner, Licensed Acupuncturist
Phone
(201) 563-0659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

10 E Willow St
Millburn, NJ 07041-1417

Mailing address

10 E Willow St
Millburn, NJ 07041-1417
Phone (201) 563-0659

National Provider Directory

National Provider Directory

Locations

10 E Willow St
Millburn, NJ 07041
Phone (201) 563-0659

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1992260822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E WILLOW ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411417",
            "telephone_number": "201-563-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E WILLOW ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411417",
            "telephone_number": "201-563-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SPROUT FAMILY ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "GIESE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "201-563-0659",
        "authorized_official_credential": "DAOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.