Individual provider Active NPI

Paul Marks, L.AC.

  • Acupuncturist
  • Hudson, NY
National Provider Identifier
1417248154
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
4454 Issued in NY
Practice address
454 Warren St Apt 3
Hudson, NY 12534-2445
Phone
(518) 828-0205
Fax
(646) 224-8399
NPI assigned
Apr 28, 2011
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 4454 NY Primary

Addresses

Primary practice location

454 Warren St Apt 3
Hudson, NY 12534-2445

Mailing address

1521 County Route 13
Brainard, NY 12024-2711
Phone (518) 828-0205

Other practice location 1

3 Computer Dr W Ste 102
Albany, NY 12205-1632
Phone (518) 451-9700

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
4454NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastgate Acupuncture P.C. Acupuncturist PastSince Nov 8, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1417248154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 COUNTY ROUTE 13",
            "city": "BRAINARD",
            "state": "NY",
            "postal_code": "120242711",
            "telephone_number": "518-828-0205",
            "fax_number": "646-224-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 WARREN ST APT 3",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342445",
            "telephone_number": "518-828-0205",
            "fax_number": "646-224-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Computer Dr W Ste 102",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122051632",
            "country_code": "US",
            "telephone_number": "518-451-9700",
            "fax_number": "646-224-8399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS",
        "first_name": "PAUL",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.