Active NPI
Devin McGilvery, L.AC., LMT
- Acupuncturist
- Astoria, NY
National Provider Identifier
1063885242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005637
- Practice address
- 3801 23Rd Ave
Unit 100
Astoria, NY 11105-1532 - Phone
- (917) 868-2480
- NPI assigned
- Nov 10, 2015
- 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 | 005637 | NY | Primary |
Addresses
Primary practice location
3801 23Rd Ave
Unit 100
Astoria, NY 11105-1532
Mailing address
3801 23Rd Ave
Unit 100
Astoria, NY 11105-1532
Phone (917) 868-2480
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005637 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health Acupuncture and Massage Therapy PLLC | Acupuncturist | Past | 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 and National Provider Directory roles.
-
dba Functional Health Acupuncture
- Acupuncturist
- Astoria, NY
- NPI 1487027694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1063885242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 23RD AVE",
"address_2": "UNIT 100",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111051532",
"telephone_number": "917-868-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 23RD AVE",
"address_2": "UNIT 100",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111051532",
"telephone_number": "917-868-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILVERY",
"first_name": "DEVIN",
"credential": "L.AC., LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.