Pure Mind Acupuncture PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

0016571 Issued in NY

Legal business name

PURE MIND ACUPUNCTURE PC

Practice address

2818 31St St
3Rd FL
Astoria, NY 11102-1745

Phone

(201) 363-0233

Fax

(201) 363-0266

NPI assigned

Feb 1, 2016

Organization subpart

No

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

Authorized official

Name

Ji Yong Kim

Title

President

Phone

(201) 363-0233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1154789535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE",
            "address_2": "3RD FL",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246232",
            "telephone_number": "201-363-0233",
            "fax_number": "201-363-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 31ST ST",
            "address_2": "3RD FL",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021745",
            "telephone_number": "201-363-0233",
            "fax_number": "201-363-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MIND ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JI YONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-363-0233"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "0016571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangelia Psyllos
• PT by Me PLLC
• Rubena Pugeda-Chan, MD
• Michael Torres Pulgo, PT
• Joanne Flores Punsalan, OT/L
• Pure Pharmacy LLC
• Fatima Purvis, LMHC
• Vadim Pustovoytov, D.O.
• Uzair Ahmed Qazi, ACNPC-AG
• Yukai Qiu, MA

• Health Service Clinic/Center in Astoria, NY
• Providers in Astoria, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.