NPIMap

Organization Active NPI

Good Life Acupuncture PC

  • Acupuncturist
  • Port Washington, NY
National Provider Identifier
1053862417
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003888 Issued in NY
Legal business name
GOOD LIFE ACUPUNCTURE PC
Practice address
175D Manorhaven Blvd
Port Washington, NY 11050-1536
Phone
(917) 254-8340
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Adina Dabija, L.AC.NPI 1972754596
Title
Owner
Phone
(917) 254-8340

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 003888 NY Primary

Addresses

Primary practice location

175D Manorhaven Blvd
Port Washington, NY 11050-1536

Mailing address

175 Manorhaven Blvd
Unit D
Port Washington, NY 11050
Phone (917) 254-8340

National Provider Directory

National Provider Directory

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": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1053862417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MANORHAVEN BLVD",
            "address_2": "UNIT D",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11050",
            "telephone_number": "917-254-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175D MANORHAVEN BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501536",
            "telephone_number": "917-254-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "DABIJA",
        "authorized_official_first_name": "ADINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-254-8340",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.