Andrew Paek, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

007462 Issued in NY

Practice address

7217 Grand Ave
Maspeth, NY 11378-1525

Phone

(973) 865-3654

NPI assigned

Sep 12, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• New York Injury Chiropractic Rehab PC

  • Rehabilitation Chiropractor
  • Jackson Heights, NY
  • NPI 1295416618
  NPD (past)
• Physio Health Ny PT,PC

  • Physical Therapy Clinic/Center
  • Kew Gardens, NY
  • NPI 1063800670
  NPD (past)

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1114753571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 53RD AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781427",
            "telephone_number": "973-865-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781525",
            "telephone_number": "973-865-3654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3723 72nd St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113726126",
            "country_code": "US",
            "telephone_number": "718-255-1533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Francis Pl",
            "address_purpose": "LOCATION",
            "city": "Malverne",
            "state": "NY",
            "postal_code": "115651270",
            "country_code": "US",
            "telephone_number": "516-451-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAEK",
        "first_name": "ANDREW",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Psychology of New York, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.