Organization Active NPI

Sundala on the Farm Inc.

  • Acupuncturist
  • Orangeburg, NY
National Provider Identifier
1205379849
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004419 Issued in NY
Legal business name
SUNDALA ON THE FARM INC.
Practice address
103 S Greenbush Rd
Building 4
Orangeburg, NY 10962-1322
Phone
(914) 261-1495
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Ms. Jodie Tassello
Title
President
Phone
(914) 261-1495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 004419 NY Primary

Addresses

Primary practice location

103 S Greenbush Rd
Building 4
Orangeburg, NY 10962-1322

Mailing address

103 S Greenbush Rd
Building 4
Orangeburg, NY 10962-1322
Phone (914) 261-1495

National Provider Directory

National Provider Directory

Locations

103 S Greenbush Rd
Bldg 4
Orangeburg, NY 10962
Phone (914) 261-1495

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1205379849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S GREENBUSH RD",
            "address_2": "BUILDING 4",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621322",
            "telephone_number": "914-261-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S GREENBUSH RD",
            "address_2": "BUILDING 4",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621322",
            "telephone_number": "914-261-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDALA ON THE FARM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "TASSELLO",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-261-1495",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.