Stephanie Berube, L.A C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006497 Issued in NY

Practice address

54 Hunnewell Ave
Elmont, NY 11003-2707

Phone

(516) 328-7672

NPI assigned

Jan 14, 2020

Last updated

Jan 14, 2020By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1093355364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 JERUSALEM AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932017",
            "telephone_number": "516-499-4925",
            "fax_number": "516-781-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HUNNEWELL AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110032707",
            "telephone_number": "516-328-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUBE",
        "first_name": "STEPHANIE",
        "credential": "L.A C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Stephanie.berube@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "353 49th St",
            "city": "Lindenhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117571938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.