Organization Active NPI

Scarsdale Wellness Acupuncture PC

Doing business as ScarsWellness Acupuncture PC

  • Acupuncturist
  • Scarsdale, NY
National Provider Identifier
1386122703
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005329 Issued in NY
Legal business name
SCARSDALE WELLNESS ACUPUNCTURE PC
Doing business as
ScarsWellness Acupuncture PC
Practice address
1075 Central Park Ave Ste 401
Scarsdale, NY 10583-3232
Phone
(201) 213-1551
NPI assigned
Jul 30, 2018
Last updated
Jul 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Mina Pyun, LACNPI 1790198067
Title
Lac
Phone
(201) 213-1551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005329 NY Primary

Addresses

Primary practice location

1075 Central Park Ave Ste 401
Scarsdale, NY 10583-3232

Mailing address

1075 Central Park Ave Ste 401
Scarsdale, NY 10583-3232
Phone (201) 213-1551

Other names 1

  • ScarsWellness Acupuncture PC Doing business as

National Provider Directory

National Provider Directory

Locations

1075 Central Park Ave
Ste 401
Scarsdale, NY 10583
Phone (201) 213-1551

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1386122703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE STE 401",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833232",
            "telephone_number": "201-213-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE STE 401",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833232",
            "telephone_number": "201-213-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARSDALE WELLNESS ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "PYUN",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "LAC",
        "authorized_official_telephone_number": "201-213-1551",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ScarsWellness Acupuncture PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.