NPIMap

Organization Active NPI

Phoenix Eastern Acupuncture

Doing business as Phoenix Eastern Medicine Center

  • Acupuncturist
  • Farmingdale, NY
National Provider Identifier
1447656210
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PHOENIX EASTERN ACUPUNCTURE
Doing business as
Phoenix Eastern Medicine Center
Practice address
376 Fulton St
Farmingdale, NY 11735-3666
Phone
(516) 520-1330
Fax
(516) 520-1828
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Dr. Genevieve Lee, LACNPI 1114004629
Title
President
Phone
(516) 520-1330

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

376 Fulton St
Farmingdale, NY 11735-3666

Mailing address

376 Fulton St
Farmingdale, NY 11735-3666
Phone (516) 520-1330

Other names 1

  • Phoenix Eastern Medicine Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Eastern Acupncture PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

376 Fulton St
Farmingdale, NY 11735
Phone (516) 520-1330

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1447656210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353666",
            "telephone_number": "516-520-1330",
            "fax_number": "516-520-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353666",
            "telephone_number": "516-520-1330",
            "fax_number": "516-520-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EASTERN ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-520-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Eastern Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.