Active NPI
Sayville Therapeutic Spa Inc
- Acupuncturist
- Sayville, NY
National Provider Identifier
1033499355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004279-1
- Legal business name
- SAYVILLE THERAPEUTIC SPA INC
- Practice address
- 120 Main St
Sayville, NY 11782-2504 - Phone
- (631) 563-8955
- Fax
- (631) 563-1824
- NPI assigned
- Aug 17, 2011
- 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
- Wieslawa Maliszewski, L.AC, LMT
- Title
- President/Owner
- Phone
- (631) 563-8955
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 | 004279-1 | NY | Primary |
Addresses
Primary practice location
120 Main St
Sayville, NY 11782-2504
Mailing address
120 Main St
Sayville, NY 11782-2504
Phone (631) 563-8955
National Provider Directory
National Provider DirectoryLocations
120 Main St
Sayville, NY 11782
Phone (631) 563-8955
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
- Sayville, NY
- NPI 1376850958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313539200000",
"number": "1033499355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MAIN ST",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117822504",
"telephone_number": "631-563-8955",
"fax_number": "631-563-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MAIN ST",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117822504",
"telephone_number": "631-563-8955",
"fax_number": "631-563-1824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAYVILLE THERAPEUTIC SPA INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-17",
"last_updated": "2011-08-17",
"status": "A",
"authorized_official_last_name": "MALISZEWSKI",
"authorized_official_first_name": "WIESLAWA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "631-563-8955",
"authorized_official_credential": "L.AC, LMT"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NY",
"license": "004279-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.