NPIMap

Organization Active NPI

Shine Acupuncture Wellness PLLC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1366059255
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SHINE ACUPUNCTURE WELLNESS PLLC
Practice address
128 Fort Washington Ave Apt J
New York, NY 10032-4735
Phone
(212) 568-5100
Fax
(212) 568-5105
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Meei Miaw Lin, LAC .DAOMNPI 1386279966
Title
Lac, Om / Chief Officer
Phone
(914) 819-2713

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: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

128 Fort Washington Ave Apt J
New York, NY 10032-4735

Mailing address

128 Fort Washington Ave Apt J
New York, NY 10032-4735
Phone (212) 568-5100

Other names 1

  • Shine Acupuncture Wellness PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

128 Fort Washington Ave
Apt J
New York, NY 10032
Phone (212) 568-5100

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": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1366059255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FORT WASHINGTON AVE APT J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324735",
            "telephone_number": "212-568-5100",
            "fax_number": "212-568-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FORT WASHINGTON AVE APT J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324735",
            "telephone_number": "212-568-5100",
            "fax_number": "212-568-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE ACUPUNCTURE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "MEEI MIAW",
        "authorized_official_title_or_position": "LAC, OM / CHIEF OFFICER",
        "authorized_official_telephone_number": "914-819-2713",
        "authorized_official_credential": "LAC .DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Acupuncture Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.