Organization Active NPI

Church Street Acupuncture PLLC

  • Acupuncturist
  • Holbrook, NY
National Provider Identifier
1437630258
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
CHURCH STREET ACUPUNCTURE PLLC
Practice address
1720 Church St
Holbrook, NY 11741
Phone
(631) 388-6545
NPI assigned
Aug 29, 2018
Last updated
Sep 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Mr. Joseph Calabria, LAC
Title
Member
Phone
(631) 388-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NY Primary

Addresses

Primary practice location

1720 Church St
Holbrook, NY 11741

Mailing address

236 Seneca St
Ronkonkoma, NY 11779-4685

National Provider Directory

National Provider Directory

Locations

1720 Church St
Holbrook, NY 11741
Phone (631) 388-6545

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1437630258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SENECA ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CHURCH ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "11741",
            "telephone_number": "631-388-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH STREET ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "CALABRIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-388-6545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.