Healtheast Medical Group, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 1262 Issued in FL

Legal business name

HEALTHEAST MEDICAL GROUP, INC.

Practice address

6300 NW 5TH Way
Suite 150
Ft Lauderdale, FL 33309-6110

Phone

(954) 771-1007

Fax

(954) 771-9930

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Iris Chen, A.P.

Title

Acupuncture Physician

Phone

(954) 771-1007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healtheast Medical Group Other name

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073726378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 NW 5TH WAY",
            "address_2": "SUITE 150",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096110",
            "telephone_number": "954-771-1007",
            "fax_number": "954-771-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 NW 5TH WAY",
            "address_2": "SUITE 150",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096110",
            "telephone_number": "954-771-1007",
            "fax_number": "954-771-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHEAST MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "954-771-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "C005L",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healtheast Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.