Callie Viverito, MSOM L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005683 Issued in NY

Practice address

1416 Jerusalem Ave
North Merrick, NY 11566-1305

Phone

(516) 945-5944

NPI assigned

Jan 26, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

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

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.

• Sunrise Acupuncture Wellness

  • Acupuncturist
  • Merrick, NY
  • NPI 1164052965
  Authorized official Same address or phone

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083071757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GORMLEY AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663010",
            "telephone_number": "516-945-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 JERUSALEM AVE",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661305",
            "telephone_number": "516-945-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVERITO",
        "first_name": "CALLIE",
        "credential": "MSOM L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Sieger
• Ruth Siegling, RN
• Sharon Stebbins, LMT
• Therapeutic Solutions Physical Therapy, PLLC
• Gabriella Torre
• Elaine Patricia Walsh, RN
• Jennifer Noelle Watts
• Ruth Weissman, SLP
• Winthrop Faculty Medical Affiliates University Faculty Practice Corpor (North Merrick Family Practice)
• Maureen Wondsel, LMT

• Acupuncturist in North Merrick, NY
• Providers in North Merrick, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.