Provider Demographics
NPI:1457610248
Name:NEW JERSEY ACUPUNCTURE & WELLNESS CENTER
Entity Type:Organization
Organization Name:NEW JERSEY ACUPUNCTURE & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC
Authorized Official - Prefix:
Authorized Official - First Name:NI-FEI
Authorized Official - Middle Name:
Authorized Official - Last Name:HSIEH
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:973-998-8433
Mailing Address - Street 1:35 STOCKTON CT
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1293
Mailing Address - Country:US
Mailing Address - Phone:973-998-8433
Mailing Address - Fax:973-528-9803
Practice Address - Street 1:255 E HANOVER AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4073
Practice Address - Country:US
Practice Address - Phone:973-998-8433
Practice Address - Fax:973-528-9803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-14
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00063200171100000X
CAAC14000171100000X
NY003828171100000X
NJ26BT00338400225700000X
NY023451225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty