NPIMap

Organization Active NPI

Eastway Wellness LLC

  • Acupuncturist
  • Norwood, MA
National Provider Identifier
1134491848
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EASTWAY WELLNESS LLC
Practice address
11 Vanderbilt Ave
Suite 210
Norwood, MA 02062-5056
Phone
(781) 688-0138
Fax
(781) 269-5613
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Yi Luo
Title
Owner
Phone
(781) 688-0138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

11 Vanderbilt Ave
Suite 210
Norwood, MA 02062-5056

Mailing address

11 Vanderbilt Ave
Suite 210
Norwood, MA 02062-5056
Phone (781) 688-0138

Other practice location 1

360B Tremont St
Boston, MA 02116-5538
Phone (857) 233-2575

Other identifiers 1

IdentifierTypeStateIssuer
1578721338OtherMANPI

Other names 1

  • Eastway Acupuncture Other name

National Provider Directory

National Provider Directory
Tax ID family
Eastway Wellness LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

360B Tremont St
Boston, MA 02116
Phone (857) 233-2575

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1134491848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 VANDERBILT AVE",
            "address_2": "SUITE 210",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625056",
            "telephone_number": "781-688-0138",
            "fax_number": "781-269-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 VANDERBILT AVE",
            "address_2": "SUITE 210",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625056",
            "telephone_number": "781-688-0138",
            "fax_number": "781-269-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360B Tremont St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021165538",
            "country_code": "US",
            "telephone_number": "857-233-2575",
            "fax_number": "781-269-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTWAY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "LUO",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-688-0138"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578721338",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastway Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.