NPIMap

Organization Active NPI

Southold Acupuncture & Massage Therapy PLLC

  • Acupuncturist
  • Southold, NY
National Provider Identifier
1144753930
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005542 Issued in NY
Legal business name
SOUTHOLD ACUPUNCTURE & MASSAGE THERAPY PLLC
Doing business as
Easterm Sun Holistic Health
Practice address
53345 Main Rd
Southold, NY 11971-4643
Phone
(631) 765-2100
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Carrie ImperatoNPI 1255862462
Title
Owner
Phone
(631) 765-2100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 005542 NY Primary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X 022202 NY

Addresses

Primary practice location

53345 Main Rd
Southold, NY 11971-4643

Mailing address

PO Box 523
Southold, NY 11971-0523

Other names 1

  • Easterm Sun Holistic Health Doing business as

National Provider Directory

National Provider Directory

Locations

53345 Main Rd
Southold, NY 11971
Phone (631) 286-6166

Practitioners & affiliated clinicians

Practitioners 5

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": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1144753930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119710523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53345 MAIN RD",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119714643",
            "telephone_number": "631-765-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHOLD ACUPUNCTURE & MASSAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "IMPERATO",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-765-2100"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005542",
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": "NY",
            "license": "022202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easterm Sun Holistic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southold, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.