Forget Me Not Acupuncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

FORGET ME NOT ACUPUNCTURE PC

Practice address

363 Hauppauge Rd, Ny-111
Suite 97
Smithtown, NY 11787

Phone

(631) 257-5663

Fax

(631) 257-5664

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Edward Patrick Gousse, L.AC.

Title

Acupuncturist

Phone

(631) 257-5663

Specialties & licenses 1

Addresses

Tax ID family

Forget Me Not Acupuncture PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Forget Me Not Acupuncture PC

  • Pain Clinic/Center
  • Brooklyn, NY
  • NPI 1124427836
  NPD tax ID

Locations

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1124777305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 HAUPPAUGE RD, SUITE 97, NY-111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-257-5663",
            "fax_number": "631-257-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 HAUPPAUGE RD, NY-111",
            "address_2": "SUITE 97",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-257-5663",
            "fax_number": "631-257-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGET ME NOT ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "GOUSSE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "631-257-5663",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geency Fonseca, RN
• James Joseph Fonti
• Vanessa Forbes, AUD
• Ilana Lindsay Forchheimer, M.D.
• Carol Anne Forgash, LCSW
• Beth Ilene Forhman, CSW DSW
• Farzad Forohar, M.D.
• Alanna Elizabeth Forte-Bhoorasingh, CRNA
• Nancy J Fortin, ANPC
• Samantha C Fortune, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.