Active NPI
Jennifer Ingram, LAC
- Acupuncturist
- Newburgh, NY
National Provider Identifier
1194555706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002936-01
- Practice address
- 109 S William St # G4
Newburgh, NY 12550-5949 - Phone
- (845) 857-8386
- NPI assigned
- Aug 7, 2024
- 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 | 002936-01 | NY | Primary |
Addresses
Primary practice location
109 S William St # G4
Newburgh, NY 12550-5949
Mailing address
109 S William St # G4
Newburgh, NY 12550-5949
Phone (845) 857-8386
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 |
|---|---|---|---|
| 002936-01 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1194555706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 S WILLIAM ST # G4",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505949",
"telephone_number": "845-857-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S WILLIAM ST # G4",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505949",
"telephone_number": "845-857-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "JENNIFER",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002936-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
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- Inadvance Medicine Associates East
- Independent Home Care, Inc.
- Independent Living, Inc.
- Danielle Elizabeth Ingrassia, BCBA
- Rose M. Inman, FNP
- Innate Chiropractic PC
- Integrated Medical Healthcare Services PLLC
- Integrating the Self Lcat, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.