Organization Active NPI

Radiant Wellness Acupuncture Care

  • Acupuncturist
  • Wyandanch, NY
National Provider Identifier
1184463739
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
RADIANT WELLNESS ACUPUNCTURE CARE
Practice address
1 Washington Ave Apt 120
Wyandanch, NY 11798-2442
Phone
(631) 645-1492
NPI assigned
May 22, 2024
Last updated
Nov 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Authorized official

Name
Dr. Micheline Denise Coley, DIPL. ACNPI 1578251310
Title
Acupuncturist
Phone
(631) 645-1492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

1 Washington Ave Apt 120
Wyandanch, NY 11798-2442

Mailing address

1 Washington Ave Apt 120
Wyandanch, NY 11798-2442
Phone (631) 645-1492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763769600000",
    "number": "1184463739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON AVE APT 120",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982442",
            "telephone_number": "631-645-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON AVE APT 120",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982442",
            "telephone_number": "631-645-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT WELLNESS ACUPUNCTURE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "MICHELINE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "631-645-1492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DIPL. AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandanch, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.