North Shore Family Acupuncture P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

NORTH SHORE FAMILY ACUPUNCTURE P.C.

Practice address

354 Veterans Memorial Hwy Ste 1
Commack, NY 11725-4331

Phone

(631) 600-0306

Fax

(475) 333-3062

NPI assigned

Dec 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Randall Block, LAC, NDNPI 1871253195

Title

Owner

Phone

(631) 219-8671

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Block, LAC, ND

  • Acupuncturist
  • Commack, NY
  • NPI 1871253195
  NPD (past) Authorized official
• Renee Lupis

  • Massage Therapist
  • Commack, NY
  • NPI 1508745266
  NPD (past)

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1336850684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 VETERANS MEMORIAL HWY STE 1",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254331",
            "telephone_number": "631-600-0306",
            "fax_number": "475-333-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 VETERANS MEMORIAL HWY STE 1",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254331",
            "telephone_number": "631-600-0306",
            "fax_number": "475-333-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE FAMILY ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-219-8671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, ND"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1871253195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Nissen, PH.D.
• Roseline Codio Noel, RN
• Colleen Noone
• Carol Slingerland Norman, MS CCC SLP
• North Shore Child Psychiatry PC
• North Shore Medical Group of the Mount Sinai School of Medicine
• Northshore Biomechanics
• Denise M Novello, M.ED, BCBA, LBA
• Maya Novok, LCSW-R
• Nu Horizons LLC

• Acupuncturist in Commack, NY
• Providers in Commack, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.