Active NPIIndividual providerSole proprietor

Mr. Gerard C Reidy Jr., LAC, MSTOM, CA

Acupuncturist in Westfield, New Jersey

NPI Number1063780914
Practice location
111 Quimby St, Westfield, NJ 07090-2185
Fax
—
Last updated
December 7, 2011

Gerard Cornelius Reidy is an Acupuncturist based in Westfield, NJ. Gerard Cornelius Reidy practices in Westfield, NJ and has the professional credentials of LAC, MSTOM, CA. The NPI Number for Gerard Cornelius Reidy is 1063780914 and holds a License No. MZ000203 (NJ). The current practice location address for Gerard Cornelius Reidy is 111 Quimby St, Westfield, NJ 07090-2185 and can be reached out via phone at 908-612-5698.

Provider Profile Details

NPI Number
1063780914
Provider Name
Gerard Cornelius Reidy
Credential
LAC, MSTOM, CA
Provider Entity Type
Individual
Gender
Male
Address
111 Quimby St, Westfield, NJ 07090-2185
Phone Number
908-612-5698
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
December 7, 2011
Last Update Date
December 7, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Quimby St
Westfield, NJ 07090-2185
Zip
07090-2185
Phone Number
908-612-5698
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
505 Downer St
Westfield, NJ 07090-4112
City
Westfield
State
NJ
Zip
07090-4112
Phone Number
908-612-5698

License Information

License Number
MZ000203
License State
NJ
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Gerard C Reidy Jr., LAC, MSTOM, CA?

The NPI number of Mr. Gerard C Reidy Jr., LAC, MSTOM, CA is 1063780914. It was assigned on December 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Gerard C Reidy Jr., LAC, MSTOM, CA?

Mr. Gerard C Reidy Jr., LAC, MSTOM, CA is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number MZ000203.

Where does Mr. Gerard C Reidy Jr., LAC, MSTOM, CA practice?

The practice location is 111 Quimby St, Westfield, NJ 07090-2185. The office can be reached at 908-612-5698 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063780914 directly on the NPPES registry website.

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