Active NPIIndividual providerSole proprietor

Mr. Roman Khodik, LAC, MA

Acupuncturist in Rochelle Park, New Jersey

NPI Number1588171318
Practice location
350 W Passaic St Ste 2, Rochelle Park, NJ 07662-3000
Fax
201-880-6208
Last updated
March 17, 2018

Roman Khodik is an Acupuncturist based in Rochelle Park, NJ. Roman Khodik practices in Rochelle Park, NJ and has the professional credentials of LAC, MA. The NPI Number for Roman Khodik is 1588171318 and holds a License No. 25MZ00128600 (NJ). The current practice location address for Roman Khodik is 350 W Passaic St Ste 2, Rochelle Park, NJ 07662-3000 and can be reached out via phone at 201-880-6207 and via fax at 201-880-6208.

Provider Profile Details

NPI Number
1588171318
Provider Name
Roman Khodik
Credential
LAC, MA
Provider Entity Type
Individual
Gender
Male
Address
350 W Passaic St Ste 2, Rochelle Park, NJ 07662-3000
Phone Number
201-880-6207
Fax Number
201-880-6208
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2018
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 W Passaic St Ste 2
Rochelle Park, NJ 07662-3000
Zip
07662-3000
Phone Number
201-880-6207
Fax Number
201-880-6208
Rochelle Park, NJ 07662Get directions →

Provider Business Mailing Address Details

Address
9-09 Elaine Ter
Fair Lawn, NJ 07410-5714
City
Fair Lawn
State
NJ
Zip
07410-5714
Phone Number
201-707-8025
Fax Number
201-791-3508

License Information

License Number
25MZ00128600
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. Roman Khodik, LAC, MA?

The NPI number of Mr. Roman Khodik, LAC, MA is 1588171318. It was assigned on January 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Roman Khodik, LAC, MA?

Mr. Roman Khodik, LAC, MA is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00128600.

Where does Mr. Roman Khodik, LAC, MA practice?

The practice location is 350 W Passaic St Ste 2, Rochelle Park, NJ 07662-3000. The office can be reached at 201-880-6207 (phone) or 201-880-6208 (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 1588171318 directly on the NPPES registry website.

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