Individual provider Active NPI

Elaine Retholtz, L.AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1174736086
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000268 Issued in NY
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

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P451352OtherNYOXFORD

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

LicenseStateTypeSpecialty
000268NYMDPsychoanalysis Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Acupuncture & Massage Therapypc Acupuncturist PastSince Jan 24, 2021 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": "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.

Verify at the official NPI Registry.