Organization Active NPI

Lotus Green Acupuncture P.C.

  • Acupuncturist
  • Middletown, NY
National Provider Identifier
1164045423
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LOTUS GREEN ACUPUNCTURE P.C.
Practice address
156 Dolson Ave Ste 11
Middletown, NY 10940-6560
Phone
(845) 381-2688
Fax
(845) 345-8201
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Jongwhan Cha
Title
President
Phone
(845) 381-2688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

156 Dolson Ave Ste 11
Middletown, NY 10940-6560

Mailing address

156 Dolson Ave Ste 11
Middletown, NY 10940-6560
Phone (845) 381-2688

Other practice location 1

280 Broadway Ste 2
Newburgh, NY 12550-8203
Phone (845) 381-2688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1164045423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 DOLSON AVE STE 11",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406560",
            "telephone_number": "845-381-2688",
            "fax_number": "845-345-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 DOLSON AVE STE 11",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406560",
            "telephone_number": "845-381-2688",
            "fax_number": "845-345-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Broadway Ste 2",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125508203",
            "country_code": "US",
            "telephone_number": "845-381-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOTUS GREEN ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "JONGWHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-381-2688"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.