Individual provider Active NPI

Adrienne Sumowicz, L.AC, OMD

  • Acupuncturist
  • Jackson Heights, NY
National Provider Identifier
1245565589
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001677-1 Issued in NY
Practice address
3704 92ND St
Jackson Heights, NY 11372-7930
Phone
(718) 505-5414
NPI assigned
Oct 5, 2009
Last updated
Oct 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 001677-1 NY Primary

Addresses

Primary practice location

3704 92ND St
Jackson Heights, NY 11372-7930

Mailing address

3704 92ND St
Jackson Heights, NY 11372-7930
Phone (718) 505-5414

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
001677-1NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1245565589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 92ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727930",
            "telephone_number": "718-505-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 92ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727930",
            "telephone_number": "718-505-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMOWICZ",
        "first_name": "ADRIENNE",
        "name_prefix": "Miss",
        "credential": "L.AC, OMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001677-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.