Provider Demographics
NPI:1720243405
Name:HSIEH, NI-FEI (MSTOM, LAC)
Entity Type:Individual
Prefix:
First Name:NI-FEI
Middle Name:
Last Name:HSIEH
Suffix:
Gender:M
Credentials:MSTOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Mailing Address - Fax:
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
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26BT00338400225700000X
NY023451225700000X
NJ25MZ00063200171100000X
NY003828171100000X
CAAC14000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist