Organization Active NPI

Pearl River Acupuncture

  • Acupuncturist
  • Pearl River, NY
National Provider Identifier
1376909754
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005677-1 Issued in NY
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

Updated by the provider on Jan 14, 2016

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.