Organization Active NPI

Acupuncture Upgraded PC.

  • Acupuncturist
  • Oakland Gardens, NY
National Provider Identifier
1447574108
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000953 Issued in NY
Legal business name
ACUPUNCTURE UPGRADED PC.
Practice address
5703 224TH St FL 2
Oakland Gardens, NY 11364-2007
Phone
(917) 482-9129
NPI assigned
Mar 23, 2010
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Taek Won Lee, LACNPI 1689998593
Title
Acupuncturist
Phone
(917) 482-9129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000953 NY Primary

Addresses

Primary practice location

5703 224TH St FL 2
Oakland Gardens, NY 11364-2007

Mailing address

5703 224TH St FL 2
Oakland Gardens, NY 11364-2007
Phone (917) 482-9129

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1447574108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 224TH ST FL 2",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642007",
            "telephone_number": "917-482-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 224TH ST FL 2",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642007",
            "telephone_number": "917-482-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE UPGRADED PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TAEK",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "19174829129",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.