Active NPI
Elaine Retholtz, L.AC.
- Acupuncturist
- New York, NY
National Provider Identifier
1174736086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000268
- Practice address
- 119 W 23Rd St Ste 701
New York, NY 10011-6348 - Phone
- (212) 967-6261
- Fax
- (212) 924-4692
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000268 | NY | Primary |
Addresses
Primary practice location
119 W 23Rd St Ste 701
New York, NY 10011-6348
Mailing address
119 W 23Rd St Ste 701
New York, NY 10011-6348
Phone (212) 967-6261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P451352 | Other | NY | OXFORD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000268 | NY | MD | Psychoanalysis Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Acupuncture & Massage Therapypc | Acupuncturist | Past | 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.
-
- Acupuncturist
- New York, NY
- NPI 1437749645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1174736086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W 23RD ST STE 701",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100116348",
"telephone_number": "212-967-6261",
"fax_number": "212-924-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W 23RD ST STE 701",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100116348",
"telephone_number": "212-967-6261",
"fax_number": "212-924-4692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETHOLTZ",
"first_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "000268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P451352",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.