Provider Demographics
NPI:1902260763
Name:ON POINT ACUPUNCTURE AND WELLNESS LLC
Entity type:Organization
Organization Name:ON POINT ACUPUNCTURE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KEARSTIN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:TRIPI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:973-330-2028
Mailing Address - Street 1:21 LARK LN
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-9171
Mailing Address - Country:US
Mailing Address - Phone:973-330-2028
Mailing Address - Fax:
Practice Address - Street 1:21 LARK LN
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07438-9171
Practice Address - Country:US
Practice Address - Phone:973-330-2028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00084400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty