Mark Edward Petruzzi, L.AC., L.M.T.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2813 Issued in NY

Practice address

5225 Rte 347
Port Jefferson Station, NY 11776-2053

Phone

(631) 559-2220

NPI assigned

Jan 5, 2011

Last updated

Jan 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• The Way of Acupuncture P.C.

  • Acupuncturist
  • Port Jefferson Station, NY
  • NPI 1497296941
  Authorized official Same address or phone

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1235433301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HURON ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764307",
            "telephone_number": "631-559-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 RTE 347",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762053",
            "telephone_number": "631-559-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUZZI",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "L.AC., L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Michael Perrone, RN
• Peter a Klein, MD, Faad, PC
• Maxine Patricia Peters, R.N.
• Samantha Petie-Judge
• Ashley Anne Petito, LCSW
• Philip Melnekoff, PH.D.,PC
• Natasha Phillips, LPN
• Danielle Philp
• Phyt, Inc.
• Nicolette Picarello, PHARMD

• Acupuncturist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.