Active NPIOrganization

Garden State Acupuncture And Wellness

Acupuncturist in Colts Neck, New Jersey

NPI Number1093167991
Practice location
415 Route 34, Suite 210, Colts Neck, NJ 07722-2522
Fax
732-775-3515
Last updated
March 3, 2017

Garden State Acupuncture And Wellness is a healthcare organization based in Colts Neck, NJ. Garden State Acupuncture And Wellness practices in Colts Neck, NJ. The NPI Number for Garden State Acupuncture And Wellness is 1093167991 and holds a License No. 18KT00938000 (NJ). The current practice location address for Garden State Acupuncture And Wellness is 415 Route 34, Suite 210, Colts Neck, NJ 07722-2522 and can be reached out via phone at 302-249-0143 and via fax at 732-775-3515.

Provider Profile Details

NPI Number
1093167991
Provider Name
Garden State Acupuncture And Wellness
Provider Entity Type
Organization
Address
415 Route 34, Suite 210, Colts Neck, NJ 07722-2522
Phone Number
302-249-0143
Fax Number
732-775-3515
Primary Taxonomy
Acupuncturist · 171100000X
Organization Subpart
No
Authorized Official
Dr. Kevin Clark, DAOM, LAC · Owner · 302-249-0143
Provider Enumeration Date
July 5, 2016
Last Update Date
March 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Route 34
Suite 210
Colts Neck, NJ 07722-2522
Zip
07722-2522
Phone Number
302-249-0143
Fax Number
732-775-3515
Colts Neck, NJ 07722Get directions →

Provider Business Mailing Address Details

Address
1116 5TH Ave
Asbury Park, NJ 07712-4905
City
Asbury Park
State
NJ
Zip
07712-4905
Phone Number
302-249-0143
Fax Number
732-775-3515

License Information

License Number (1)
18KT00938000
License State (1)
NJ
Taxonomy (1)
Massage Therapist · 225700000X
License Number (2)
25MZ00104200
License State (2)
NJ
Taxonomy (2)
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 Garden State Acupuncture And Wellness?

The NPI number of Garden State Acupuncture And Wellness is 1093167991. It was assigned on July 5, 2016 and is currently active in the NPPES registry.

What is the specialty of Garden State Acupuncture And Wellness?

Garden State Acupuncture And Wellness is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 18KT00938000.

Where does Garden State Acupuncture And Wellness practice?

The practice location is 415 Route 34, Suite 210, Colts Neck, NJ 07722-2522. The office can be reached at 302-249-0143 (phone) or 732-775-3515 (fax).

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 1093167991 directly on the NPPES registry website.

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