Individual provider Active NPI

Andre X Pressley, L.AC, LMT

  • Acupuncturist
  • Melville, NY
National Provider Identifier
1043824162
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007360 Issued in NY
Practice address
6 Spruce PL
Melville, NY 11747-1104
Phone
(631) 855-5198
NPI assigned
Sep 4, 2020
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 031981-01 NY
Acupuncturist 171100000X 007360 NY Primary

Addresses

Primary practice location

6 Spruce PL
Melville, NY 11747-1104

Mailing address

20 Hausch Blvd
Roosevelt, NY 11575-1533
Phone (631) 855-5198

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
007360NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands Down Acupuncture and Massage Acupuncturist CurrentSince Jan 26, 2025 Accepting new patients

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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1043824162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAUSCH BLVD",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751533",
            "telephone_number": "631-855-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SPRUCE PL",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471104",
            "telephone_number": "631-855-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSLEY",
        "first_name": "ANDRE",
        "middle_name": "X",
        "name_prefix": "Mr.",
        "credential": "L.AC, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031981-01",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

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