Organization Active NPI

Bliss Acupuncture P.C.

  • Acupuncturist
  • New Hyde Park, NY
National Provider Identifier
1366890535
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005672 Issued in NY
Legal business name
BLISS ACUPUNCTURE P.C.
Practice address
516 Lakeville Rd
516 Lakeville Road
New Hyde Park, NY 11040-3006
Phone
(516) 993-1416
NPI assigned
May 28, 2016
Last updated
May 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Authorized official

Name
Justin Wilfred Dougherty, L.AC.NPI 1407229594
Title
Owner
Phone
(516) 993-1416

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
Acupuncturist 171100000X 005672 NY Primary

Addresses

Primary practice location

516 Lakeville Rd
516 Lakeville Road
New Hyde Park, NY 11040-3006

Mailing address

PO Box 769
New Hyde Park, NY 11040-0769

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464393600000",
    "number": "1366890535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110400769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LAKEVILLE RD",
            "address_2": "516 LAKEVILLE ROAD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403006",
            "telephone_number": "516-993-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-28",
        "last_updated": "2016-05-28",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "WILFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-993-1416",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; 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.