NPI Code Detail JSON Logo

1568376622 NPI number — A TRANQUIL WELLNESS CENTER CORP

NPI Number: 1568376622
Health Care Provider/Practitioner: A TRANQUIL WELLNESS CENTER CORP

Information about “1568376622” NPI (A TRANQUIL WELLNESS CENTER CORP) exists in 1568376622 in HTML format HTML  |  1568376622 in plain Text format TXT  |  1568376622 in PDF (Portable Document Format) PDF  |  1568376622 in an XML format XML  formats.

NPI Number : 1568376622 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568376622",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "A TRANQUIL WELLNESS CENTER CORP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "685 BERGEN BLVD",
    "SecondLineMailingAddress": "SUITE 01",
    "MailingAddressCityName": "RIDGEFIELD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07657",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-448-0447",
    "MailingAddressFaxNumber": "866-461-8194",
    "FirstLinePracticeLocationAddress": "685 BERGEN BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 01",
    "PracticeLocationAddressCityName": "RIDGEFIELD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07657",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-448-0447",
    "PracticeLocationAddressFaxNumber": "866-461-8194",
    "EnumerationDate": "09/28/2026",
    "LastUpdateDate": "09/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PIZON",
    "AuthorizedOfficialFirstName": "ANGELA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "201-448-0447",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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