Organization Active NPI

Balance Acupuncture Care, P.C.

  • Acupuncturist
  • Bayside, NY
National Provider Identifier
1245809128
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BALANCE ACUPUNCTURE CARE, P.C.
Practice address
21519 39TH Ave
Bayside, NY 11361-2114
Phone
(646) 642-2908
NPI assigned
Jun 23, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Sangwon Lee, LACNPI 1841318011
Title
President
Phone
(646) 642-2908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

18901 Northern Blvd
#B2
Flushing, NY 11358
Phone (646) 642-2908

6421 Fresh Pond Rd
Ridgewood, NY 11385
Phone (631) 209-5700

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

21519 39TH Ave
Bayside, NY 11361-2114

Mailing address

14 Redwood Dr
Plainview, NY 11803-5215
Phone (646) 642-2908

Other practice location 1

1111 Broadhollow Rd
Farmingdale, NY 11735-4820
Phone (646) 642-2908

Other practice location 2

6421 Fresh Pond Rd
Ridgewood, NY 11385-3330
Phone (646) 642-2908

Other practice location 3

18901 Northern Blvd # B2
Flushing, NY 11358-2824
Phone (646) 642-2908

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2022.

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1245809128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 REDWOOD DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035215",
            "telephone_number": "646-642-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21519 39TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612114",
            "telephone_number": "646-642-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Broadhollow Rd",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117354820",
            "country_code": "US",
            "telephone_number": "646-642-2908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6421 Fresh Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113853330",
            "country_code": "US",
            "telephone_number": "646-642-2908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18901 Northern Blvd # B2",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113582824",
            "country_code": "US",
            "telephone_number": "646-642-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCE ACUPUNCTURE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANGWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-642-2908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.