NPIMap

Organization Active NPI

Setauket Li Acupuncture PC

  • Acupuncturist
  • East Setauket, NY
National Provider Identifier
1295381341
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SETAUKET LI ACUPUNCTURE PC
Practice address
100 N Belle Mead Ave Ste C
East Setauket, NY 11733-3530
Phone
(631) 241-0058
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Eun Kyung Bae, LACNPI 1851726608
Title
Owner
Phone
(631) 241-0058

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: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

100 N Belle Mead Ave Ste C
East Setauket, NY 11733-3530

Mailing address

28 Hamlet Dr
Mount Sinai, NY 11766-3002
Phone (631) 241-0058

National Provider Directory

National Provider Directory
Tax ID family
Setauket Li Acupuncture PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1295381341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HAMLET DR",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117663002",
            "telephone_number": "631-241-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BELLE MEAD AVE STE C",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333530",
            "telephone_number": "631-241-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETAUKET LI ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "EUN KYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-241-0058",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.