Andrea Blom

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5104-1 Issued in NY

Practice address

876 Sunrise Hwy Ste 20
Bay Shore, NY 11706-5908

Phone

(631) 848-3772

Fax

(631) 532-1566

NPI assigned

Feb 5, 2018

Sex

Female

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

State licenses

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 and National Provider Directory roles.

• An Zhuo Ya Acupuncture

  • Acupuncturist
  • Bay Shore, NY
  • NPI 1891294898
  NPD Authorized official

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1285133280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 SUNRISE HWY STE 20",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065908",
            "telephone_number": "631-848-3772",
            "fax_number": "631-532-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 SUNRISE HWY STE 20",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065908",
            "telephone_number": "631-848-3772",
            "fax_number": "631-532-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOM",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "5104-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Blandino, LPN
• Maryellen Blank, NP
• Brian Scott Blaustein, DO
• Nicklos Blaylock
• Matthew J. Blitz, M.D., M.B.A.
• Bobs Optical Inc.
• Kristina L Boccio, LMT
• Erica Bodoff, CGC
• Kimberly Boehm, MS ED
• Carla Boeree

• Acupuncturist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.