Active NPI
Matthew Purcell, LAC
- Acupuncturist
- Kingston, NY
National Provider Identifier
1063609279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002028
- Practice address
- 339 Albany Ave
Kingston, NY 12401-2544 - Phone
- (845) 340-4490
- Fax
- (845) 340-4490
- NPI assigned
- Oct 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002028 | NY | Primary |
Addresses
Primary practice location
339 Albany Ave
Kingston, NY 12401-2544
Mailing address
PO Box 3561
Kingston, NY 12402-3561
Phone (845) 340-4490
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1063609279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3561",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124023561",
"telephone_number": "845-340-4490",
"fax_number": "845-340-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 ALBANY AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124012544",
"telephone_number": "845-340-4490",
"fax_number": "845-340-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "MATTHEW",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.