Individual provider Active NPI

Jiaji Sun, LIC.AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1144356023
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000581 Issued in NY
Practice address
141 E 55TH St Apt 6G
New York, NY 10022-4032
Phone
(646) 207-2021
Fax
(718) 225-6007
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000581 NY Primary

Addresses

Primary practice location

141 E 55TH St Apt 6G
New York, NY 10022-4032

Mailing address

6005 255TH St FL 1
Little Neck, NY 11362-2438
Phone (646) 207-2021

Other practice location 1

25517 Northern Blvd
Apt. A2
Little Neck, NY 11362-1453
Phone (718) 225-6007

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

State licenses

LicenseStateTypeSpecialty
000581NYMDBehavioral Analyst

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1144356023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 255TH ST FL 1",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622438",
            "telephone_number": "646-207-2021",
            "fax_number": "718-225-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E 55TH ST APT 6G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224032",
            "telephone_number": "646-207-2021",
            "fax_number": "718-225-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25517 Northern Blvd",
            "address_2": "Apt. A2",
            "address_purpose": "LOCATION",
            "city": "Little Neck",
            "state": "NY",
            "postal_code": "113621453",
            "country_code": "US",
            "telephone_number": "718-225-6007",
            "fax_number": "718-225-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "JIAJI",
        "name_prefix": "Mr.",
        "credential": "LIC.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.