Individual provider Active NPI

Susan Hofmann-Levin, LMT, L. AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1043519754
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25 004557 Issued in NY
Practice address
415 W 57TH St Apt B
New York, NY 10019-1753
Phone
(917) 599-2179
NPI assigned
Mar 21, 2011
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25 004557 NY Primary
Massage Therapist 225700000X 27 019417 NY

Addresses

Primary practice location

415 W 57TH St Apt B
New York, NY 10019-1753

Mailing address

6911 Yellowstone Blvd Apt B32
Forest Hills, NY 11375-3789
Phone (631) 240-4196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25 004557NYMDAcupuncturist
27 019417NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knots & Bolts Therapy PLLC Acupuncturist CurrentSince Jul 31, 2023 Accepting new patients

Locations

415 W 57th St
Apt B
New York, NY 10019
Phone (212) 246-0030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1043519754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 YELLOWSTONE BLVD APT B32",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753789",
            "telephone_number": "631-240-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W 57TH ST APT B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191753",
            "telephone_number": "917-599-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN-LEVIN",
        "first_name": "SUSAN",
        "credential": "LMT, L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 004557",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "27 019417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.