Active NPI
You Jun Ren, ACUPUNCTURIST
- Acupuncturist
- Hollis, NY
National Provider Identifier
1235325101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 003311
- Practice address
- 19705 Hillside Ave
Hollis, NY 11423-2126 - Phone
- (718) 213-9882
- Fax
- (718) 264-0378
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- 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 | 003311 | NY | Primary |
Addresses
Primary practice location
19705 Hillside Ave
Hollis, NY 11423-2126
Mailing address
43-70 Missena Blvd.
Apt. # 19M
Flushing, NY 11355
Phone (917) 379-5987
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 |
|---|---|---|---|
| 003311 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1235325101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43-70 MISSENA BLVD.",
"address_2": "APT. # 19M",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "917-379-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19705 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232126",
"telephone_number": "718-213-9882",
"fax_number": "718-264-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REN",
"first_name": "YOU JUN",
"name_prefix": "Miss",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.