Organization Active NPI

G.S.Chun Acupuncture, P.C.

  • Pain Clinic/Center
  • Stony Brook, NY
National Provider Identifier
1417543018
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
G.S.CHUN ACUPUNCTURE, P.C.
Practice address
207 Hallock Rd Ste 209
Stony Brook, NY 11790-3082
Phone
(929) 412-7558
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Gyu Chun, L.ACNPI 1407487010
Title
Acupuncturist
Phone
(303) 319-9397

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
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

207 Hallock Rd Ste 209
Stony Brook, NY 11790-3082

Mailing address

2739 164TH St FL 2
Flushing, NY 11358-1061
Phone (303) 319-9397

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": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1417543018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 164TH ST FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581061",
            "telephone_number": "303-319-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD STE 209",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903082",
            "telephone_number": "929-412-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.S.CHUN ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "GYU",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "303-319-9397",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.