Phumlarp Phoromyen, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006914 Issued in NY

Practice address

13 E 37TH St Ste 4R
New York, NY 10016-2821

Phone

(212) 685-0888

Fax

(516) 833-6044

NPI assigned

Jun 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jericho Wellness LLC

  • Physical Therapist
  • Jericho, NY
  • NPI 1184071367
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1093384877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E 37TH ST STE 4R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162821",
            "telephone_number": "212-685-0888",
            "fax_number": "516-833-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E 37TH ST STE 4R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162821",
            "telephone_number": "212-685-0888",
            "fax_number": "516-833-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOROMYEN",
        "first_name": "PHUMLARP",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "871285687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix Marriage & Family Therapy PLLC
• Phoenix Psychological Services, P.C.
• Phoenixcare Acupuncture & Physical Therapy PC
• Veerawat Phongtankuel, M.D.
• Colin Phoon, M.D.
• Punyadech Photangtham, MD
• Photon Medical Group
• Pranulin Phrommavanh, OTD, OTR/L
• Phronetic Psychotherapy LCSW PC
• Kristina Phu, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.