Organization Active NPI

Halcyon Acupuncture of Long Island PLLC

  • Acupuncturist
  • Douglaston, NY
National Provider Identifier
1376141010
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
HALCYON ACUPUNCTURE OF LONG ISLAND PLLC
Practice address
5621 Marathon Pkwy Ste 2
Douglaston, NY 11362-2037
Phone
(516) 441-7598
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Mr. Frank Jay Wu, LACNPI 1831715879
Title
Owner
Phone
(516) 469-7478

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

5621 Marathon Pkwy Ste 2
Douglaston, NY 11362-2037

Mailing address

20 Ravine Rd
Great Neck, NY 11023-1712
Phone (516) 469-7478

National Provider Directory

National Provider Directory

Locations

5621 Marathon Pkwy
Ste 2
Little Neck, NY 11362
Phone (516) 441-2633

930 N Broadway
Ste 100
Massapequa, NY 11758
Phone (516) 778-7228

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1376141010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RAVINE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231712",
            "telephone_number": "516-469-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 MARATHON PKWY STE 2",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113622037",
            "telephone_number": "516-441-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON ACUPUNCTURE OF LONG ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-469-7478",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglaston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.