Organization Active NPI

Suffolk Acupuncture Wellness P.C

  • Acupuncturist
  • Hauppauge, NY
National Provider Identifier
1427563162
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SUFFOLK ACUPUNCTURE WELLNESS P.C
Practice address
800 Veterans Memorial Hwy Ste 120
Hauppauge, NY 11788-2937
Phone
(201) 608-5033
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Eunkyung Bae, LA.C
Title
La.C
Phone
(201) 608-5033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

800 Veterans Memorial Hwy Ste 120
Hauppauge, NY 11788-2937

Mailing address

800 Veterans Memorial Hwy Ste 120
Hauppauge, NY 11788-2937
Phone (201) 608-5033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1427563162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VETERANS MEMORIAL HWY STE 120",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882937",
            "telephone_number": "201-608-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VETERANS MEMORIAL HWY STE 120",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882937",
            "telephone_number": "201-608-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK ACUPUNCTURE WELLNESS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "EUNKYUNG",
        "authorized_official_title_or_position": "LA.C",
        "authorized_official_telephone_number": "201-608-5033",
        "authorized_official_credential": "LA.C"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.