Active NPI
Mona Lee, L.AC.
- Physical Therapist
- Oceanside, NY
National Provider Identifier
1437398401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008317-1
- Practice address
- 2954 Clark Ave
Oceanside, NY 11572-1944 - Phone
- (516) 766-0897
- Fax
- (516) 766-0318
- NPI assigned
- Feb 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 003490-1 | NY | |
| Physical Therapist | 225100000X | 008317-1 | NY | Primary |
Addresses
Primary practice location
2954 Clark Ave
Oceanside, NY 11572-1944
Mailing address
2954 Clark Ave
Oceanside, NY 11572-1944
Phone (516) 766-0897
Other names 1
- Mona Lee Yuan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008317-1 | NY | MD | Mental Health Counselor |
| 003490-1 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1437398401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2954 CLARK AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721944",
"telephone_number": "516-766-0897",
"fax_number": "516-766-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2954 CLARK AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721944",
"telephone_number": "516-766-0897",
"fax_number": "516-766-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MONA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003490-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "008317-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONA",
"last_name": "YUAN",
"middle_name": "LEE",
"credential": "L.AC.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.