Active NPI
Dapeng Song
- Acupuncturist
- Flushing, NY
National Provider Identifier
1366288367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 007543
- Practice address
- 3415 Parsons Blvd Apt 3C
Flushing, NY 11354-4602 - Phone
- (929) 468-8088
- NPI assigned
- Jul 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 007543 | NY | Primary |
Addresses
Primary practice location
3415 Parsons Blvd Apt 3C
Flushing, NY 11354-4602
Mailing address
3415 Parsons Blvd Apt 3C
Flushing, NY 11354-4602
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007543 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1366288367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 PARSONS BLVD APT 3C",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 PARSONS BLVD APT 3C",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544602",
"telephone_number": "929-468-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "DAPENG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "007543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.