Active NPI
Victoria Angela Liotta, DAC, LAC, LMT
- Acupuncturist
- Huntington, NY
National Provider Identifier
1093103749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005103
- Practice address
- 11 Stewart Ave
Huntington, NY 11743-2738 - Phone
- (631) 421-1848
- NPI assigned
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 020509 | NY | |
| Acupuncturist | 171100000X | 005103 | NY | Primary |
Addresses
Primary practice location
11 Stewart Ave
Huntington, NY 11743-2738
Mailing address
3 Hazelwood PL
Huntington, NY 11743-4273
Phone (516) 353-2341
Other practice location 1
3 Hazelwood Place
Huntington, NY 11743
Phone (516) 353-2341
Other practice location 2
1239 N Country Rd
Suite 3D
Stony Brook, NY 11790-1934
Phone (631) 601-6491
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 |
|---|---|---|---|
| 020509 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrant Light Acupuncture & Massage, P.C. | 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.
-
- Acupuncturist
- Huntington, NY
- NPI 1467207902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1093103749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HAZELWOOD PL",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434273",
"telephone_number": "516-353-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 STEWART AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432738",
"telephone_number": "631-421-1848"
}
],
"practiceLocations": [
{
"address_1": "3 Hazelwood Place",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "NY",
"postal_code": "11743",
"country_code": "US",
"telephone_number": "516-353-2341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1239 N Country Rd",
"address_2": "Suite 3D",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117901934",
"country_code": "US",
"telephone_number": "631-601-6491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIOTTA",
"first_name": "VICTORIA",
"middle_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "DAC, LAC, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "020509",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.