Boju Wang, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005455 Issued in NY

Practice address

586 Warburton Ave
Hastings on Hudson, NY 10706-1504

Phone

(929) 266-7892

NPI assigned

Apr 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Acupuncture Wellness PLLC

  • Acupuncturist
  • Hastings on Hudson, NY
  • NPI 1821840240
  NPD Authorized official

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1255728549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 199TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661823",
            "telephone_number": "646-209-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 WARBURTON AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061504",
            "telephone_number": "929-266-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "BOJU",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Marchand Vitale, MPS, PT
• Margaret B. Walker, PH.D.
• Lorraine Elizabeth Walsh, PSYD
• Jezebel Walter, LMSW
• Victoria Ann Walters, MSOT, OTR/L
• Kate Washton, MSW
• Kathryn Ruth Weinlein, FNP
• Holly Weinrib, MA, CCC-SLP
• Jill Wellenbach, LMSW
• Young Adult Institute, Inc.

• Acupuncturist in Hastings on Hudson, NY
• Providers in Hastings on Hudson, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.