Organization Active NPI

MCZ Regenerative Health

  • Acupuncturist
  • East Setauket, NY
National Provider Identifier
1174069819
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25005547 Issued in CT
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

Updated by the provider on Jan 18, 2017

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.