Active NPI
CRC 11 11 Acupunture, PLLC
- Acupuncturist
- Beacon, NY
National Provider Identifier
1194353284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- CRC 11 11 ACUPUNTURE, PLLC
- Practice address
- 13 Cross St
Beacon, NY 12508-1802 - Phone
- (917) 941-8423
- NPI assigned
- Apr 1, 2020
- Last updated
- Apr 1, 2020
- 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
- Ms. Catherine R Cusumano, M.S., L. AC.
- Title
- Licensed Acupuncturist
- Phone
- (917) 941-8423
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
13 Cross St
Beacon, NY 12508-1802
Mailing address
13 Cross St
Beacon, NY 12508-1802
Phone (917) 941-8423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851505499 | Other | NY | SOLE PROPRIETOR'S NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Acupuncturist
- New York, NY
- NPI 1851505499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585699200000",
"number": "1194353284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 CROSS ST",
"city": "BEACON",
"state": "NY",
"postal_code": "125081802",
"telephone_number": "917-941-8423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 CROSS ST",
"city": "BEACON",
"state": "NY",
"postal_code": "125081802",
"telephone_number": "917-941-8423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRC 11 11 ACUPUNTURE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A",
"authorized_official_last_name": "CUSUMANO",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
"authorized_official_telephone_number": "917-941-8423",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S., L. AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOLE PROPRIETOR'S NUMBER",
"identifier": "1851505499",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beacon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.