Organization Active NPI

North Shore Wellness

  • Acupuncturist
  • Northport, NY
National Provider Identifier
1255846242
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006154 Issued in NY
Legal business name
NORTH SHORE WELLNESS
Practice address
34 Brookfield Rd
Northport, NY 11768-1407
Phone
(516) 398-4375
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Mrs. Brooke Zanni, L AC.NPI 1114432119
Title
President
Phone
(516) 398-4375

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 006154 NY Primary

Addresses

Primary practice location

34 Brookfield Rd
Northport, NY 11768-1407

Mailing address

34 Brookfield Rd
Northport, NY 11768-1407
Phone (516) 398-4375

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1255846242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BROOKFIELD RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681407",
            "telephone_number": "516-398-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BROOKFIELD RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681407",
            "telephone_number": "516-398-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "ZANNI",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-398-4375",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.