Active NPI
Meridian Acupuncture PLLC
- Preferred Provider Organization
- Honeoye Falls, NY
National Provider Identifier
1255725834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 002226
- Legal business name
- MERIDIAN ACUPUNCTURE PLLC
- Practice address
- 1 W Main St
Honeoye Falls, NY 14472-1101 - Phone
- (585) 369-6850
- NPI assigned
- Mar 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan R. Grodensky, M.S.O.M., LAC.
- Title
- Acupuncturist
- Phone
- (585) 369-6850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 002226 | NY | Primary |
Addresses
Primary practice location
1 W Main St
Honeoye Falls, NY 14472-1101
Mailing address
26 Azalea Rd
Rochester, NY 14620-3020
Phone (585) 880-4554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002226 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Rochester, NY
- NPI 1407240682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1255725834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 AZALEA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146203020",
"telephone_number": "585-880-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W MAIN ST",
"city": "HONEOYE FALLS",
"state": "NY",
"postal_code": "144721101",
"telephone_number": "585-369-6850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN ACUPUNCTURE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "GRODENSKY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "ACUPUNCTURIST",
"authorized_official_telephone_number": "585-369-6850",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S.O.M., LAC."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NY",
"license": "002226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002226",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honeoye Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.