Intrinsic Energy Acupuncture PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005125 Issued in NY

Legal business name

INTRINSIC ENERGY ACUPUNCTURE PLLC

Doing business as

Intrinsic Wellness Center

Practice address

930 N Broadway
Massapequa, NY 11758-2394

Phone

(516) 778-7228

NPI assigned

Apr 20, 2018

Last updated

Apr 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Wu, L.AC

Title

Ceo

Phone

(212) 671-0993

Specialties & licenses 2

Addresses

Other names 1

• Intrinsic Wellness Center Doing business as

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1427545763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BANKS AVE APT 1328",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706212",
            "telephone_number": "212-671-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582394",
            "telephone_number": "516-778-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Maple Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115704267",
            "country_code": "US",
            "telephone_number": "516-705-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTRINSIC ENERGY ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-671-0993",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005125",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intrinsic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intrinsic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.