Individual provider Active NPI

Maureen Rose Tetelman, M.S., L.AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1255548731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
002815 Issued in NY
Practice address
40 E 23Rd St
3Rd FL. at Kinespirit Studio
New York, NY 10010-4400
Phone
(212) 228-6687
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 002815 NY Primary

Addresses

Primary practice location

40 E 23Rd St
3Rd FL. at Kinespirit Studio
New York, NY 10010-4400

Mailing address

401 2ND Ave
Apt 25G
New York, NY 10010-3911
Phone (212) 228-6687

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002815NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255548731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 2ND AVE",
            "address_2": "APT 25G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103911",
            "telephone_number": "212-228-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E 23RD ST",
            "address_2": "3RD FL. AT KINESPIRIT STUDIO",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104400",
            "telephone_number": "212-228-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETELMAN",
        "first_name": "MAUREEN",
        "middle_name": "ROSE",
        "credential": "M.S., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.