Active NPI
Jiusong Kan, L.AC.
- Acupuncturist
- New York, NY
National Provider Identifier
1205067972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004145
- Practice address
- 305 E.72ND Street Suite 1an
Suite 1an
New York, NY 10021 - Phone
- (212) 249-7670
- Fax
- (888) 428-6036
- NPI assigned
- Jul 29, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 004145 | NY | Primary |
Addresses
Primary practice location
305 E.72ND Street Suite 1an
Suite 1an
New York, NY 10021
Mailing address
305 E. 72ND Street, Suite 1an
Suite 1an
New York, NY 10021
Phone (212) 249-7670
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 |
|---|---|---|---|
| 004145 | NY | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Acupuncture Healthcare | Acupuncturist | Current | Accepting new patients |
| New York Acupuncture Healthcare, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- New York, NY
- NPI 1497618359
-
- Clinic/Center
- Hastings on Hudson, NY
- NPI 1669628046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1205067972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E. 72ND STREET, SUITE 1AN",
"address_2": "SUITE 1AN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-249-7670",
"fax_number": "888-428-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E.72ND STREET SUITE 1AN",
"address_2": "SUITE 1AN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-249-7670",
"fax_number": "888-428-6036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAN",
"first_name": "JIUSONG",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-29",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.