Elysian Forest Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25 005552 Issued in NY

Legal business name

ELYSIAN FOREST ACUPUNCTURE

Practice address

1207 E 45TH St
Brooklyn, NY 11234-1429

Phone

(347) 927-4324

NPI assigned

Aug 8, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Rhea Theresa Broderick, LAC, RTNPI 1669850566

Title

Acupuncturist

Phone

(347) 927-4324

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhea Theresa Broderick, RT,LAC

  • Acupuncturist
  • Brooklyn, NY
  • NPI 1669850566
  NPD (past) Authorized official

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

{
    "created_epoch": "1438992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438992000000",
    "number": "1437535879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341429",
            "telephone_number": "347-927-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341429",
            "telephone_number": "347-927-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN FOREST ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-08",
        "last_updated": "2015-08-08",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "RHEA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "347-927-4324",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC, RT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 005552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Elwood, PMHNP, FNP-C
• Alexis Ely, LPMC
• Emad Nasef Elyas
• Semyon Elyash
• Marie Carmel Elysee, LPN
• Mohamed Fakry Elzalata, MD
• Hagar Elzohiry
• Hend Elzohiry, PHARM D
• Yasmin M Elzohiry
• Walid M Elzomor, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2015; 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.