Organization Active NPI

Bayside Acupuncture Wellness PC

  • Acupuncturist
  • Bayside, NY
National Provider Identifier
1205722949
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BAYSIDE ACUPUNCTURE WELLNESS PC
Practice address
20014 44TH Ave Ste 2
Bayside, NY 11361-2510
Phone
(718) 229-4688
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Doreen Liu
Title
Manager
Phone
(646) 669-8250

Specialties & licenses 1

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

Addresses

Primary practice location

20014 44TH Ave Ste 2
Bayside, NY 11361-2510

Mailing address

20014 44TH Ave Ste 2
Bayside, NY 11361-2510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1205722949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20014 44TH AVE STE 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20014 44TH AVE STE 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612510",
            "telephone_number": "718-229-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE ACUPUNCTURE WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-669-8250"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.