Active NPI
Pearl River Acupuncture
- Acupuncturist
- Pearl River, NY
National Provider Identifier
1376909754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005677-1
- Legal business name
- PEARL RIVER ACUPUNCTURE
- Practice address
- 180 E Central Ave
Pearl River, NY 10965-2537 - Phone
- (845) 735-0800
- Fax
- (845) 735-0837
- NPI assigned
- Jan 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan A Stephens, L.AC
- Title
- Owner
- Phone
- (845) 826-4772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005677-1 | NY | Primary |
Addresses
Primary practice location
180 E Central Ave
Pearl River, NY 10965-2537
Mailing address
180 E Central Ave
Pearl River, NY 10965-2537
Phone (845) 735-0800
National Provider Directory
National Provider DirectoryLocations
180 E Central Ave
Pearl River, NY 10965
Phone (845) 735-2500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452729600000",
"number": "1376909754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 E CENTRAL AVE",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109652537",
"telephone_number": "845-735-0800",
"fax_number": "845-735-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E CENTRAL AVE",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109652537",
"telephone_number": "845-735-0800",
"fax_number": "845-735-0837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL RIVER ACUPUNCTURE",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-826-4772",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "L.AC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NY",
"license": "005677-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.