Active NPI
MCZ Regenerative Health
- Acupuncturist
- East Setauket, NY
National Provider Identifier
1174069819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25005547
- Legal business name
- MCZ REGENERATIVE HEALTH
- Practice address
- 384 Mark Tree Rd
East Setauket, NY 11733-1002 - Phone
- (631) 404-7073
- NPI assigned
- Jan 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deirdre McCool, BILLER
- Title
- Biller
- Phone
- (631) 404-7073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25005547 | CT | Primary |
Addresses
Primary practice location
384 Mark Tree Rd
East Setauket, NY 11733-1002
Mailing address
384 Mark Tree Rd
East Setauket, NY 11733-1002
Phone (631) 404-7073
National Provider Directory
National Provider DirectoryLocations
384 Mark Tree Rd
Setauket, NY 11733
Phone (631) 580-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484697600000",
"number": "1174069819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 MARK TREE RD",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117331002",
"telephone_number": "631-404-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 MARK TREE RD",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117331002",
"telephone_number": "631-404-7073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCZ REGENERATIVE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A",
"authorized_official_last_name": "MCCOOL",
"authorized_official_first_name": "DEIRDRE",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "631-404-7073",
"authorized_official_credential": "BILLER"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CT",
"license": "25005547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.