Individual provider Active NPI

Danilo Jeremy Cuellar, L. AC., LMT

  • Acupuncturist
  • Suffern, NY
National Provider Identifier
1316165228
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003122 Issued in NY
Practice address
1 Executive Blvd Ste 205
Suffern, NY 10901-4157
Phone
(845) 623-5000
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 015491 NY
Acupuncturist 171100000X 003122 NY Primary

Addresses

Primary practice location

1 Executive Blvd Ste 205
Suffern, NY 10901-4157

Mailing address

1 Executive Blvd Ste 205
Suffern, NY 10901-4157
Phone (845) 623-5000

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

LicenseStateTypeSpecialty
015491NYMDOccupational Therapist
003122NYMDGeneral Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Chiropractic P.C. CurrentSince Sep 23, 2024 Accepting new patients
Empire State Pain & Neuro ,P.C. Past Accepting new patients

Locations

1 Executive Blvd
Ste 205
Suffern, NY 10901
Phone (845) 533-4120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1316165228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD STE 205",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014157",
            "telephone_number": "845-623-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD STE 205",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014157",
            "telephone_number": "845-623-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "DANILO",
        "middle_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "L. AC., LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "015491",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.