CONNIE TJADEN (NPI# 1679737555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679737555 |
| Entity Type | Individual |
| Full Name | CONNIE TJADEN |
| Credential | L.AC., LMT |
| Practice Address |
46 Blackpine Dr Medford NY 11763-4103 |
| Practice Telephone | 6316809458 |
| Mailing Telephone | 6316809458 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 003059 | NY | Other Service Providers |
| N | 225700000X | Massage Therapist | 008914 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
46 BLACKPINE DR |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595178 | Jennifer Long | Acupuncturist | 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655 | 2019-06-04 |
| 1730643750 | Dr. James Said Chiropractic and Naturopathic Physician Inc | Acupuncturist | 836 E Main St Ste 5, Medford, OR 97504-7115 | 2019-01-23 |
| 1699209858 | Steffi Koerner | Acupuncturist | 231 Arlington St, Medford, MA 02155-3544 | 2017-04-14 |
| 1942692850 | Cynthia Marie Gallant | Acupuncturist | 25 Brooks Park, Apt 6, Medford, MA 02155-4525 | 2015-03-02 |
| 1104260678 | Kathia Engler Kirschner | Acupuncturist | 80 Governors Ave, Medford, MA 02155-3018 | 2013-04-26 |
| 1932470424 | Joshua Ryan Graner | Acupuncturist | 817 Bennett Ave, Medford, OR 97504-6715 | 2012-01-16 |
| 1306079074 | Heather Jamieson Lance | Acupuncturist | 84 Morton Ave, Apt. 1, Medford, MA 02155-6436 | 2009-08-28 |
| 1043470255 | Debra Kay Miller | Acupuncturist | 654 E Broadway Ave, Medford, WI 54451-1525 | 2008-06-11 |
| 1275718181 | Suzanne Murphy | Acupuncturist | 639 Stokes Road, Suite 201, Medford, NJ 08055 | 2008-01-09 |
| 1144402066 | Kristin M. Piacitelli | Acupuncturist | 3138 State St., Medford, OR 97504-8450 | 2007-12-03 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.