Active NPI
Sonia Martinez London, L.AC.
- Acupuncturist
- Port Jefferson, NY
National Provider Identifier
1265624373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2667
- Practice address
- 640 Belle Terre Road, BLDG. F
Port Jefferson, NY 11777-0000 - Phone
- (631) 291-7006
- NPI assigned
- Aug 13, 2007
- Last updated
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2667 | NY | Primary |
Addresses
Primary practice location
640 Belle Terre Road, BLDG. F
Port Jefferson, NY 11777-0000
Mailing address
1 Village Hill Dr
Dix Hills, NY 11746-5512
Phone (631) 291-7006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2667 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2667 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1265624373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VILLAGE HILL DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465512",
"telephone_number": "631-291-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 BELLE TERRE ROAD, BLDG. F",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117770000",
"telephone_number": "631-291-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDON",
"first_name": "SONIA",
"middle_name": "MARTINEZ",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "2667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2667",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson, NY
- Jacqueline T Loehr, RN
- Keri A Logan, DMD
- Paul Louis Lograno
- Jessica Lombardi, PA
- Toni Lombardo
- Long Island Bone and Joint
- Long Island Comfort Shoes and Pedorthic Services
- Long Island Eye Physicians & Surgeons,PC
- Long Island Laparoscopic Surgery,P.L.L.C.
- Long Island Pediatric Ophthalmology & Strabismus, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.