Joshua Lee Gutierrez, L.A.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004878 Issued in NY

Practice address

1700 Great Neck Rd
Copiague, NY 11726-2723

Phone

(631) 481-6478

NPI assigned

Oct 17, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beyond Sports Acupuncture and Massage Therapy PLLC

  • Acupuncturist
  • Deer Park, NY
  • NPI 1346955473
  NPD Authorized official
• Beyond Wellness Massage Therapy and Acupuncture P.C.

  • Acupuncturist
  • West Babylon, NY
  • NPI 1306587316
  NPD Authorized official

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1073866828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 POPLAR RD",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011016",
            "telephone_number": "631-481-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GREAT NECK RD",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117262723",
            "telephone_number": "631-481-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JOSHUA",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "L.A.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004878",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "020015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Elicia Grant, LMHC
• Wanda Green, RN
• David Grossman, RN
• Fanchette Grunblatt, LMSW
• Krishna R S Gujavarty, MD
• Minako Hara, MA CCC SLP
• Harbor Wellness Spa & Bodyworks ,LTD.
• Andrew Harry, LMT
• Anisa Ms Hazelwood, MS
• Jennifer C Hendrickson-Rivers

• Acupuncturist in Copiague, NY
• Providers in Copiague, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.