Phases Acupuncture P.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

PHASES ACUPUNCTURE P.C

Practice address

701 Route 25a Ste A3
Mount Sinai, NY 11766-2050

Phone

(631) 828-4471

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Scott Re, L.ACNPI 1164850582

Title

Owner/President

Phone

(631) 828-4471

Specialties & licenses 2

Addresses

Practitioners 1

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

• Scott Re', L.AC

  • Acupuncturist
  • Mount Sinai, NY
  • NPI 1164850582
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1144838582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ROUTE 25A STE A3",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662050",
            "telephone_number": "631-828-4471",
            "fax_number": "631-828-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ROUTE 25A STE A3",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662050",
            "telephone_number": "631-828-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASES ACUPUNCTURE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "RE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "631-828-4471",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Pellegrino, MS, OTR/L
• Jennifer Lynn Penn, LCSW
• Lee Mari Pennisi
• Sarah Perry, LCSW
• Sharon Elizabeth Peterson, M.S., CCC/SLP-TSHH
• Gaetano Pittala, LAC, LMT
• Robert Pizzuto, LPN
• Port Jefferson Volunteer Ambulance Inc
• Raymond Carl Porzio, OPTICIAN
• Proactive Speech and Language P.C.

• Acupuncturist in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.