NPIMap

Organization Active NPI

Emerge Yoga & Wellness

Doing business as Emerge Integrative Wellness

  • Acupuncturist
  • Massapequa, NY
National Provider Identifier
1417319252
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EMERGE YOGA & WELLNESS
Doing business as
Emerge Integrative Wellness
Practice address
623 Broadway
Massapequa, NY 11758-5027
Phone
(516) 781-1078
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Jennifer C Nelson, LAC, LMT, RYTNPI 1548565484
Title
Owner, Cfo
Phone
(516) 781-1078

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 021089 NY
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 203931 NY

Addresses

Primary practice location

623 Broadway
Massapequa, NY 11758-5027

Mailing address

623 Broadway
Massapequa, NY 11758-5027
Phone (516) 781-1078

Other names 1

  • Emerge Integrative Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

623 Broadway
Massapequa, NY 11758
Phone (516) 473-9388

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1417319252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585027",
            "telephone_number": "516-781-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585027",
            "telephone_number": "516-781-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE YOGA & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, CFO",
        "authorized_official_telephone_number": "516-781-1078",
        "authorized_official_credential": "LAC, LMT, RYT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "021089",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "203931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerge Integrative Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.