Organization Active NPI

Earth Mountain Acupuncture,P.C.

  • Acupuncturist
  • Wantagh, NY
National Provider Identifier
1053202457
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EARTH MOUNTAIN ACUPUNCTURE,P.C.
Practice address
3366 Park Ave Ste 210
Wantagh, NY 11793-3718
Phone
(516) 879-2809
NPI assigned
Jul 14, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Yanni Kang
Title
Ceo
Phone
(516) 879-2806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

3366 Park Ave Ste 210
Wantagh, NY 11793-3718

Mailing address

3366 Park Ave Ste 210
Wantagh, NY 11793-3718

National Provider Directory

National Provider Directory

Locations

3366 Park Ave
Ste 210
Wantagh, NY 11793
Phone (516) 409-8126

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1053202457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE STE 210",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE STE 210",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933718",
            "telephone_number": "516-879-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH MOUNTAIN ACUPUNCTURE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "YANNI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-879-2806"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.