Organization Active NPI

Hauppauge Acupuncture Wellness PC

  • Acupuncturist
  • Hauppauge, NY
National Provider Identifier
1366811481
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005148 Issued in NY
Legal business name
HAUPPAUGE ACUPUNCTURE WELLNESS PC
Practice address
750 Veterans Hwy Ste 103
Hauppauge, NY 11788-2943
Phone
(201) 937-1551
Fax
(646) 478-9778
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Sungmun Jung
Title
Lac
Phone
(201) 937-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 005148 NY Primary

Addresses

Primary practice location

750 Veterans Hwy Ste 103
Hauppauge, NY 11788-2943

Mailing address

750 Veterans Hwy Ste 103
Hauppauge, NY 11788-2943
Phone (201) 937-1551

National Provider Directory

National Provider Directory

Locations

750 Veterans Memorial Hwy
Ste 103
Hauppauge, NY 11788
Phone (201) 937-1551

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1366811481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 VETERANS HWY STE 103",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882943",
            "telephone_number": "201-937-1551",
            "fax_number": "646-478-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 VETERANS HWY STE 103",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882943",
            "telephone_number": "201-937-1551",
            "fax_number": "646-478-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAUPPAUGE ACUPUNCTURE WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SUNGMUN",
        "authorized_official_title_or_position": "LAC",
        "authorized_official_telephone_number": "201-937-1551"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.