Vishva Vajra Acupuncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004826 Issued in NY

Legal business name

VISHVA VAJRA ACUPUNCTURE PC

Practice address

23A Middle Neck Road
Great Neck, NY 11021

Phone

(917) 362-3868

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Xu Gao, LACNPI 1265784110

Title

Acupunctist

Phone

(917) 362-3868

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Xu Gao, L.AC

  • Acupuncturist
  • Flushing, NY
  • NPI 1265784110
  Authorized official Same address or phone

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1366929267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RINI RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23A MIDDLE NECK ROAD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "917-362-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISHVA VAJRA ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "XU",
        "authorized_official_title_or_position": "ACUPUNCTIST",
        "authorized_official_telephone_number": "917-362-3868",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.