| Nj Advanced Acupuncture, L.l.c. | |
|
216 Mallard Ln, Lavallette, NJ 08735-1615 | |
| (201) 400-2261 | |
| Not Available |
| Full Name | Nj Advanced Acupuncture, L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 216 Mallard Ln, Lavallette, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891118451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AP2953 (Florida) | Secondary |
| 171100000X | Acupuncturist | 25MZ00058400 (New Jersey) | Primary |
| Provider Name | Anthony Michael Goss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003147026 PECOS PAC ID: 3173842143 Enrollment ID: I20150427000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Advanced Acupuncture, L.l.c. 101 Marketside Ave, Ste 404 Pmb 327, Ponte Vedra, FL 32081 Ph: (201) 400-2261 | Nj Advanced Acupuncture, L.l.c. 216 Mallard Ln, Lavallette, NJ 08735-1615 Ph: (201) 400-2261 |
Dr. Morgan Reade, L.AC., C.A. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 216 Mallard Ln, Lavallette, NJ 08735 Phone: 201-400-2261 | |
Mr. Clint Price, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 228 4th Ave, Lavallette, NJ 08735 Phone: 862-222-2530 | |
Nicole Heuschkel, L.AC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 103 Guyer Ave, Lavallette, NJ 08735 Phone: 732-575-6861 | |
Barbara A Knoll, MSCA, CA Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 907 Grand Central Ave, Lavallette, NJ 08735 Phone: 732-664-2922 Fax: 732-830-8499 |