Individual provider Active NPI

Yanglin Sha, MASTER DEGREE, L.AC

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1063286920
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007409 Issued in NY
Practice address
14935 Northern Blvd Apt 5B
Flushing, NY 11354-3865
Phone
(929) 228-8265
NPI assigned
Nov 10, 2023
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 007409 NY Primary

Addresses

Primary practice location

14935 Northern Blvd Apt 5B
Flushing, NY 11354-3865

Mailing address

14935 Northern Blvd Apt 5B
Flushing, NY 11354-3865
Phone (929) 228-8265

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
007409NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yanglin Sha Acupuncture P.C. Acupuncturist CurrentSince Oct 1, 2024 Accepting new patients
Ronglu Acupuncture PC Acupuncturist Past Accepting new patients

Locations

347 5th Ave
Rm 1509
New York, NY 10016
Phone (212) 779-0468

426 W 58th St
New York, NY 10019
Phone (212) 977-3100

Organizations & group practices 3

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": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1063286920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14935 NORTHERN BLVD APT 5B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543865",
            "telephone_number": "929-228-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14935 NORTHERN BLVD APT 5B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543865",
            "telephone_number": "929-228-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHA",
        "first_name": "YANGLIN",
        "credential": "MASTER DEGREE, L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-10",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.