Individual provider Active NPI

Chong Zhao

  • Acupuncturist
  • Westbury, NY
National Provider Identifier
1194484170
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007177 Issued in NY
Practice address
155 Westwood Dr Apt 172
Westbury, NY 11590-1627
Phone
(347) 506-5816
NPI assigned
Dec 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 031878 NY
Acupuncturist 171100000X 007177 NY Primary

Addresses

Primary practice location

155 Westwood Dr Apt 172
Westbury, NY 11590-1627

Mailing address

155 Westwood Dr Apt 172
Westbury, NY 11590-1627
Phone (347) 506-5816

Other practice location 1

21956 64th Ave Apt B
Oakland Gardens, NY 11364-2277
Phone (347) 506-5816

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
031878NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chong Zhao Acupuncture PC Acupuncturist CurrentSince Aug 4, 2024 Accepting new patients
Chong Acupuncture P.C. Acupuncturist CurrentSince Mar 1, 2023 Accepting new patients
Ronglu Acupuncture PC Acupuncturist Past Accepting new patients

Locations

99 Jericho Tpke
Ste 304
Jericho, NY 11753
Phone (516) 888-0868

Organizations & group practices 3

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1194484170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WESTWOOD DR APT 172",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901627",
            "telephone_number": "347-506-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WESTWOOD DR APT 172",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901627",
            "telephone_number": "347-506-5816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21956 64th Ave Apt B",
            "address_purpose": "LOCATION",
            "city": "Oakland Gardens",
            "state": "NY",
            "postal_code": "113642277",
            "country_code": "US",
            "telephone_number": "347-506-5816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "CHONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-17",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031878",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.