Organization Active NPI

Eastern Acupuncture P.C.

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1235547951
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005033-1 Issued in NY
Legal business name
EASTERN ACUPUNCTURE P.C.
Practice address
16306 Northern Blvd
Flushing, NY 11358-2645
Phone
(718) 762-1390
Fax
(718) 762-1390
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Kyoung Sik Lim, L.AC
Title
Owner
Phone
(718) 762-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 005033-1 NY Primary

Addresses

Primary practice location

16306 Northern Blvd
Flushing, NY 11358-2645

Mailing address

16306 Northern Blvd
Flushing, NY 11358-2645
Phone (718) 762-1390

National Provider Directory

National Provider Directory

Locations

16306 Northern Blvd
Flushing, NY 11358
Phone (718) 762-1390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1235547951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16306 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582645",
            "telephone_number": "718-762-1390",
            "fax_number": "718-762-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16306 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582645",
            "telephone_number": "718-762-1390",
            "fax_number": "718-762-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "KYOUNG",
        "authorized_official_middle_name": "SIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-762-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005033-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.