NPIMap

Individual provider Active NPI

Kelsey Tangel, DACM

  • Acupuncturist
  • New York, NY
National Provider Identifier
1386150266
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006600 Issued in NY
Practice address
80 Broad St Ste 1401
New York, NY 10004-2249
Phone
(212) 943-4999
Fax
(212) 943-1999
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198001393 IL
Acupuncturist 171100000X 006600 NY Primary

Addresses

Primary practice location

80 Broad St Ste 1401
New York, NY 10004-2249

Mailing address

80 Broad St Ste 1401
New York, NY 10004-2249
Phone (212) 943-4999

Other practice location 1

1335 S Michigan Ave
Chicago, IL 60605-2601
Phone (312) 216-2420

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://wallstreetpainrelief.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
198001393ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Mountain Acupuncture LLC Acupuncturist Current Accepting new patients
Agk Physical Therapy and Acupuncture PLLC Acupuncturist CurrentSince Feb 7, 2024 Accepting new patients
Active Wellness LLC Acupuncturist Past Accepting new patients
New York Pain Management Services PC PastSince Nov 10, 2019 Accepting new patients
Active Wellness, LLC Acupuncturist Past Accepting new patients

Locations

80 Broad St
Ste 1401
New York, NY 10004
Phone (212) 943-4999

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1386150266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BROAD ST STE 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042249",
            "telephone_number": "212-943-4999",
            "fax_number": "212-943-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BROAD ST STE 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042249",
            "telephone_number": "212-943-4999",
            "fax_number": "212-943-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1335 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606052601",
            "country_code": "US",
            "telephone_number": "312-216-2420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANGEL",
        "first_name": "KELSEY",
        "name_prefix": "Ms.",
        "credential": "DACM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001393",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://wallstreetpainrelief.com",
            "affiliation": "N",
            "address_1": "80 Broad St Ste 1401",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100042249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.