Advanced Acupuncture Wellness,P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

001692 Issued in NY

Legal business name

ADVANCED ACUPUNCTURE WELLNESS,P.C.

Practice address

150 Islip Ave Ste 7
Islip, NY 11751-3222

Phone

(631) 328-1382

NPI assigned

Oct 4, 2012

Last updated

Oct 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jenny Hongtao Wang, LAC

Title

President

Phone

(631) 328-1382

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1396097184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVE STE 7",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513222",
            "telephone_number": "631-328-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVE STE 7",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513222",
            "telephone_number": "631-328-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ACUPUNCTURE WELLNESS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "HONGTAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-328-1382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "1871503334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Islip, NY
• Providers in Islip, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.