NPIMap

Organization Active NPI

Irevive Acupuncture PLLC

  • Acupuncturist
  • Saint James, NY
National Provider Identifier
1043780315
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
IREVIVE ACUPUNCTURE PLLC
Practice address
556 N Country Rd Ste 20
Saint James, NY 11780-1422
Phone
(631) 355-7300
NPI assigned
Nov 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Marla Tufarelli, LACNPI 1023412194
Title
Owner
Phone
(631) 355-7300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X

Addresses

Primary practice location

556 N Country Rd Ste 20
Saint James, NY 11780-1422

Mailing address

556 N Country Rd Ste 20
Saint James, NY 11780-1422

Other practice location 1

2848 Middle Country Rd
Lake Grove, NY 11755-2104
Phone (631) 355-7300

Other practice location 2

913 N Broadway
Massapequa, NY 11758-2364
Phone (631) 355-7300

National Provider Directory

National Provider Directory

Locations

556 N Country Rd
Ste 20
Saint James, NY 11780
Phone (631) 355-7300

Practitioners & affiliated clinicians

Practitioners 4

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": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1043780315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 N COUNTRY RD STE 20",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 N COUNTRY RD STE 20",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801422",
            "telephone_number": "631-355-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2848 Middle Country Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Grove",
            "state": "NY",
            "postal_code": "117552104",
            "country_code": "US",
            "telephone_number": "631-355-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "913 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117582364",
            "country_code": "US",
            "telephone_number": "631-355-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IREVIVE ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "TUFARELLI",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-355-7300",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.