Organization Active NPI

Fan'S Acupuncture P.C.

  • Health Service Clinic/Center
  • Great Neck, NY
National Provider Identifier
1366214900
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FAN'S ACUPUNCTURE P.C.
Practice address
54 Radnor Rd
Great Neck, NY 11023-1429
Phone
(917) 803-5808
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Xin Fan
Title
L.Ac
Phone
(917) 803-5808

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Physical Therapy Clinic/Center 261QP2000X
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

54 Radnor Rd
Great Neck, NY 11023-1429

Mailing address

54 Radnor Rd
Great Neck, NY 11023-1429

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1366214900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 RADNOR RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 RADNOR RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231429",
            "telephone_number": "917-803-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAN'S ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "XIN",
        "authorized_official_title_or_position": "L.AC",
        "authorized_official_telephone_number": "917-803-5808"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.