Ithaca Acupuncture Palace

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003358 Issued in NY

Legal business name

ITHACA ACUPUNCTURE PALACE

Practice address

1274 Dryden Rd
Ithaca, NY 14850-8795

Phone

(607) 793-6355

NPI assigned

May 23, 2017

Organization subpart

No

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

Authorized official

Name

Wayne Chen, ACU.NPI 1639607591

Title

President

Phone

(607) 796-3655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Wayne Chen, ACU

  • Acupuncturist
  • Ithaca, NY
  • NPI 1639607591
  NPD (past) Authorized official

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1417485384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHRISTOPHER LN",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 DRYDEN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508795",
            "telephone_number": "607-793-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHACA ACUPUNCTURE PALACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-796-3655",
        "authorized_official_credential": "ACU."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Associates of the Finger Lakes
• Internal Medicine of Ithaca, PC
• Alan Vesten Ipson
• Ira Kamp DDS
• Grace Victoria Isaksen
• Ithaca Alpha House
• Ithaca Alpha House Center, Inc.
• Ithaca Cardiology Associates, PC
• Ithaca Cayuga Optical Inc
• Ithaca City School District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.