Active NPI
Charles Deng, LAC.
- Acupuncturist
- Little Neck, NY
National Provider Identifier
1104799063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000466
- Practice address
- 25410 Northern Blvd
Store #a
Little Neck, NY 11362-1415 - Phone
- (917) 686-8186
- NPI assigned
- Sep 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000466 | NY | Primary |
Addresses
Primary practice location
25410 Northern Blvd
Store #a
Little Neck, NY 11362-1415
Mailing address
25410 Northern Blvd
Little Neck, NY 11362-1415
Phone (917) 686-8186
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1104799063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25410 NORTHERN BLVD",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621415",
"telephone_number": "917-686-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25410 NORTHERN BLVD",
"address_2": "STORE #A",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621415",
"telephone_number": "917-686-8186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENG",
"first_name": "CHARLES",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-26",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "000466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.