Organization Active NPI

Northport Acupuncture PC

  • Acupuncturist
  • Stony Brook, NY
National Provider Identifier
1417840711
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
NORTHPORT ACUPUNCTURE PC
Practice address
2500 Nesconset Hwy BLDG 24C
Stony Brook, NY 11790-2598
Phone
(631) 703-1192
NPI assigned
Jun 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Authorized official

Name
Juan Lin
Title
President
Phone
(631) 703-1192

Specialties & licenses 2

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

Addresses

Primary practice location

2500 Nesconset Hwy BLDG 24C
Stony Brook, NY 11790-2598

Mailing address

2500 Nesconset Hwy BLDG 24C
Stony Brook, NY 11790-2598

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785024000000",
    "number": "1417840711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 24C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 24C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902598",
            "telephone_number": "631-703-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPORT ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-703-1192"
    },
    "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": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 26, 2026; 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.