The Pathway Acupuncture, P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

THE PATHWAY ACUPUNCTURE, P.C.

Practice address

214-06 18TH Ave
Bayside, NY 11360

Phone

(718) 819-8728

NPI assigned

Jul 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keun Ae ParkNPI 1780166520

Title

Acupuncturist

Phone

(718) 819-8728

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keun Ae Park, L.AC

  • Acupuncturist
  • Bayside, NY
  • NPI 1780166520
  NPD Authorized official
• Esther Su Shin, LAC , ACUPUNCTURE

  • Adult Psychiatric/Mental Health Registered Nurse
  • Queens Village, NY
  • NPI 1447750815

  Acupuncturist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1013588441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214-06 18TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11360",
            "telephone_number": "718-819-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214-06 18TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11360",
            "telephone_number": "718-819-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PATHWAY ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KEUN",
        "authorized_official_middle_name": "AE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "718-819-8728"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Bayside, NY
• Providers in Bayside, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.