Active NPI
Pagoda Acupuncture Services PC
- Acupuncturist
- E. Northport, NY
National Provider Identifier
1003314923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2682
- Legal business name
- PAGODA ACUPUNCTURE SERVICES PC
- Practice address
- 517 Larkfield Rd
E. Northport, NY 11731 - Phone
- (631) 261-2077
- Fax
- (631) 261-2047
- NPI assigned
- Jan 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Lynn Romano, L.AC.
- Title
- Acupuncturist/Owner
- Phone
- (631) 261-2077
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2682 | NY | Primary |
Addresses
Primary practice location
517 Larkfield Rd
E. Northport, NY 11731
Mailing address
517 Larkfield Rd
East Northport, NY 11731
Phone (631) 261-2077
National Provider Directory
National Provider DirectoryLocations
517 Larkfield Rd
Ste E
Elwood, NY 11731
Phone (516) 359-8746
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- East Northport, NY
- NPI 1659417665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705449600000",
"number": "1003314923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 LARKFIELD RD",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "11731",
"telephone_number": "631-261-2077",
"fax_number": "631-261-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 LARKFIELD RD",
"city": "E. NORTHPORT",
"state": "NY",
"postal_code": "11731",
"telephone_number": "631-261-2077",
"fax_number": "631-261-2047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAGODA ACUPUNCTURE SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-25",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "ROMANO",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
"authorized_official_telephone_number": "631-261-2077",
"authorized_official_credential": "L.AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NY",
"license": "2682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in E. Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.