Individual provider Active NPI

Maittes Lee Romero, ACUPUNCTURIST

  • Acupuncturist
  • Woodhaven, NY
National Provider Identifier
1336679281
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005871-1 Issued in NY
Practice address
9411 Jamaica Ave FL 1
Woodhaven, NY 11421-2222
Phone
(718) 849-9696
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005871-1 NY Primary

Addresses

Primary practice location

9411 Jamaica Ave FL 1
Woodhaven, NY 11421-2222

Mailing address

10 Whispering Fields Dr
Northport, NY 11768-2866
Phone (631) 912-0680

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
005871-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ponce Acupuncture, PC Acupuncturist CurrentSince Sep 20, 2020 Accepting new patients

Locations

9411 Jamaica Ave
#1
Woodhaven, NY 11421
Phone (718) 849-9696

Organizations & group practices 1

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1336679281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WHISPERING FIELDS DR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682866",
            "telephone_number": "631-912-0680",
            "fax_number": "631-912-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 JAMAICA AVE FL 1",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212222",
            "telephone_number": "718-849-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MAITTES",
        "middle_name": "LEE",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005871-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.