Individual provider Active NPI

Tony Yam, L.AC

  • Acupuncturist
  • Mineola, NY
National Provider Identifier
1346688447
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004967-1 Issued in NY
Practice address
155 1St St
Mineola, NY 11501-4005
Phone
(646) 243-4577
NPI assigned
Jun 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 004967-1 NY Primary

Addresses

Primary practice location

155 1St St
Mineola, NY 11501-4005

Mailing address

58 Renken Blvd
Franklin Square, NY 11010-2757
Phone (646) 243-4577

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
004967-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ny West Acupuncture PC Acupuncturist Past Accepting new patients

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1346688447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 RENKEN BLVD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102757",
            "telephone_number": "646-243-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014005",
            "telephone_number": "646-243-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAM",
        "first_name": "TONY",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004967-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.