Organization Active NPI

Sayville Therapeutic Spa Inc

  • Acupuncturist
  • Sayville, NY
National Provider Identifier
1033499355
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004279-1 Issued in NY
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

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Wieslawa Maliszewski, L.AC, LMTNPI 1376850958
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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.