Individual provider Active NPI

Jennifer Smith

  • Acupuncturist
  • New York, NY
National Provider Identifier
1225609001
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006957 Issued in NY
Practice address
80 Broad St Ste 1401
New York, NY 10004-2249
Phone
(212) 943-4999
NPI assigned
Jul 2, 2021
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006957 NY Primary

Addresses

Primary practice location

80 Broad St Ste 1401
New York, NY 10004-2249

Mailing address

34 Beverly Rd
Staten Island, NY 10305-2635
Phone (347) 403-6129

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

LicenseStateTypeSpecialty
006957NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agk Physical Therapy and Acupuncture PLLC Acupuncturist CurrentSince Feb 7, 2024 Accepting new patients
New York Pain Management Services PC PastSince Jul 4, 2021 Accepting new patients

Locations

80 Broad St
Ste 1401
New York, NY 10004
Phone (212) 943-4999

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.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1225609001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BEVERLY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052635",
            "telephone_number": "347-403-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BROAD ST STE 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042249",
            "telephone_number": "212-943-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006957",
            "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 Jul 2, 2021; 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.