Individual provider Active NPI

Xian Wang-Jin, L.AC.

  • Acupuncturist
  • Stony Brook, NY
National Provider Identifier
1164081014
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006142 Issued in NY
Practice address
1331 Stony Brook Rd
Stony Brook, NY 11790-2201
Phone
(631) 805-8879
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006142 NY Primary

Addresses

Primary practice location

1331 Stony Brook Rd
Stony Brook, NY 11790-2201

Mailing address

1331 Stony Brook Rd
Stony Brook, NY 11790-2201
Phone (631) 805-8879

Other names 1

  • Xian Wang Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL naturalwellnessacu@gmail.com Stony Brook Acupuncture Wellness PC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Acupuncture Wellness PC Acupuncturist CurrentSince Mar 20, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1164081014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902201",
            "telephone_number": "631-805-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902201",
            "telephone_number": "631-805-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG-JIN",
        "first_name": "XIAN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "naturalwellnessacu@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Stony Brook Acupuncture Wellness PC",
            "address_1": "1331 Stony Brook Rd",
            "city": "Stony Brook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117902201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "XIAN",
            "last_name": "WANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.