Organization Active NPI

Balanced Wellness Acupuncture

  • Acupuncturist
  • Rockville Centre, NY
National Provider Identifier
1134519325
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005232-1 Issued in NY
Legal business name
BALANCED WELLNESS ACUPUNCTURE
Practice address
128 N Long Beach Rd
Rockville Centre, NY 11570-4415
Phone
(516) 590-0540
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Mrs. Teresa Susko, L.ACNPI 1083188866
Title
President
Phone
(516) 590-0540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 005232-1 NY Primary

Addresses

Primary practice location

128 N Long Beach Rd
Rockville Centre, NY 11570-4415

Mailing address

1085 Central Ave
South Hempstead, NY 11550-7919
Phone (516) 590-0540

Other names 1

  • Empower Personal Training Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1134519325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 CENTRAL AVE",
            "city": "SOUTH HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507919",
            "telephone_number": "516-590-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N LONG BEACH RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704415",
            "telephone_number": "516-590-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED WELLNESS ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "SUSKO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-590-0540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005232-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Personal Training",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.