Myung Suk Tae, DOM, AP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 1195 Issued in FL

Practice address

4800 N Federal Hwy
Suite D304
Boca Raton, FL 33431-5188

Phone

(561) 338-3337

Fax

(561) 338-4805

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Turtle Island Medical Associates

  • Multi-Specialty Clinic/Center
  • Boca Raton, FL
  • NPI 1962534826
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1245362136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY",
            "address_2": "SUITE D304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315188",
            "telephone_number": "561-338-3337",
            "fax_number": "561-338-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY",
            "address_2": "SUITE D304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315188",
            "telephone_number": "561-338-3337",
            "fax_number": "561-338-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAE",
        "first_name": "MYUNG",
        "middle_name": "SUK",
        "credential": "DOM, AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AP1195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura M Szyferman, LMHC, PSY.D
• T.L.C. Nursing Registry
• Tab Soft USA Inc
• Elias Tabet, MD
• Vanessa L Tabor, CAA
• Gabriella Zsuzsanna Takacs, RPH
• Natalie Jan Takiff, M.S.
• Vaishnavi Tallury
• Tamara L. Gmitter, MD PA
• Tamara L. Maule, O.D., P.a.

• Acupuncturist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.