Provider Demographics
NPI:1336960814
Name:BEACH ACUPUNCTURE
Entity type:Organization
Organization Name:BEACH ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSAC
Authorized Official - Phone:848-333-5610
Mailing Address - Street 1:608 BARNEGAT BLVD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08722-4106
Mailing Address - Country:US
Mailing Address - Phone:848-333-5610
Mailing Address - Fax:609-994-0906
Practice Address - Street 1:240 MATHISTOWN RD UNIT 109
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-4062
Practice Address - Country:US
Practice Address - Phone:609-994-0906
Practice Address - Fax:609-994-0906
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SKIN TIGHT MICRONEEDLING AND COSMETIC ACUPUNCTURE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1558864926OtherINDIVIDUAL NPI NUMBER