Active NPI
Erica Bruck, L.AC.
- Acupuncturist
- Far Rockaway, NY
National Provider Identifier
1194867242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2238
- Practice address
- 265 Beach 20TH St
Far Rockaway, NY 11691-3625 - Phone
- (718) 327-4970
- Fax
- (718) 471-6542
- NPI assigned
- Feb 13, 2007
- 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 | 2238 | NY | Primary |
Addresses
Primary practice location
265 Beach 20TH St
Far Rockaway, NY 11691-3625
Mailing address
465 Shore Rd
Ste. 5N
Long Beach, NY 11561-5337
Phone (516) 315-8189
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 |
|---|---|---|---|
| 2238 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194867242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 SHORE RD",
"address_2": "STE. 5N",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115615337",
"telephone_number": "516-315-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 BEACH 20TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913625",
"telephone_number": "718-327-4970",
"fax_number": "718-471-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCK",
"first_name": "ERICA",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "2238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.