Organization Active NPI

Vortex Acupuncture, P.C.

  • Acupuncturist
  • Melville, NY
National Provider Identifier
1396540688
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
VORTEX ACUPUNCTURE, P.C.
Practice address
510 Broadhollow Rd Ste 200
Melville, NY 11747-3606
Phone
(516) 460-0650
Fax
(516) 309-4801
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Sangwon LeeNPI 1841318011
Title
President
Phone
(516) 460-0650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

510 Broadhollow Rd Ste 200
Melville, NY 11747-3606

Mailing address

14 Redwood Dr
Plainview, NY 11803-5215
Phone (516) 460-0650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1396540688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 REDWOOD DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035215",
            "telephone_number": "516-460-0650",
            "fax_number": "516-309-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BROADHOLLOW RD STE 200",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473606",
            "telephone_number": "516-460-0650",
            "fax_number": "516-309-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VORTEX ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANGWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-460-0650"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.