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ACCUZEN INC
Complete NPI Record 1780453605
Acupuncturist in Ridgefield, NJ

NPI Status: Active since December 20, 2023

Contact Information

576 BERGEN BLVD STE D
RIDGEFIELD, NJ
ZIP 07657
Phone: (551) 451-9360

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider First Line Business Practice Location Address
  11. Provider Business Practice Location Address City Name
  12. Provider Business Practice Location Address State Name
  13. Provider Business Practice Location Address Postal Code
  14. Provider Business Practice Location Address Country Code If outside U S
  15. Provider Business Practice Location Address Telephone Number
  16. Provider Enumeration Date
  17. Last Update Date
  18. Authorized Official Last Name
  19. Authorized Official First Name
  20. Authorized Official Title or Position
  21. Authorized Official Telephone Number
  22. Healthcare Provider Taxonomy Code 1
  23. Healthcare Provider Primary Taxonomy Switch 1
  24. Is Organization Subpart
  25. Healthcare Provider Taxonomy Group 1
  26. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1780453605. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1780453605
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Entity Type Code: 2
The city name in the location address of the provider being identified.
Employer Identification Number EIN: UNAVAIL
The State code in the location of the provider being identified.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider First Line Business Mailing Address: 576 BERGEN BLVD STE D
The country code in the location address of the provider being identified.
Provider Business Mailing Address City Name: RIDGEFIELD
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address State Name: NJ
The fax number associated with the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 076572042
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Country Code If outside U S : US
The date that a record was last updated or changed.
Provider First Line Business Practice Location Address: 576 BERGEN BLVD STE D
The code designating the provider’s gender if the provider is a person.
Provider Business Practice Location Address City Name: RIDGEFIELD
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Practice Location Address State Name: NJ
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Practice Location Address Postal Code: 076572042
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address Country Code If outside U S : US
Provider Business Practice Location Address Telephone Number: 5514519360
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 12/20/2023
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 12/21/2023
The date that a record was last updated or changed.
Authorized Official Last Name: KIM
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: SEAN
The first name of the authorized official.
Authorized Official Title or Position: MANAGER
The title or position of the authorized official.
Authorized Official Telephone Number: 2013380262
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 171100000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: N
Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP
NPI Certification Date: 12/21/2023