Individual provider Active NPI

Minglu Yan, L.AC

  • Acupuncturist
  • Rockville Centre, NY
National Provider Identifier
1235610320
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006114 Issued in NY
Practice address
165 N Village Ave Ste 128
Rockville Centre, NY 11570-3763
Phone
(917) 238-0905
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006114 NY Primary
Acupuncturist 171100000X AK001267 PA

Addresses

Primary practice location

165 N Village Ave Ste 128
Rockville Centre, NY 11570-3763

Mailing address

28 Delaware Ave
Ridley Park, PA 19078-1105
Phone (917) 238-0905

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
006114NYMDAcupuncturist
AK001267PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Minglu Yan Acupuncture PC Acupuncturist Current Accepting new patients
Yang & Lu Acupuncture PC Acupuncturist CurrentSince Jan 26, 2025 Accepting new patients

Locations

4100 Duff Pl
Ste E
Seaford, NY 11783
Phone (516) 796-7711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1235610320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DELAWARE AVE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190781105",
            "telephone_number": "917-238-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 128",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703763",
            "telephone_number": "917-238-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "MINGLU",
        "name_prefix": "Dr.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006114",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.