Individual provider Active NPI

Mike Zhang, DAOM

  • Acupuncturist
  • Long Beach, NY
National Provider Identifier
1477043644
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006275 Issued in NY
Practice address
46 E Park Ave
Long Beach, NY 11561-3503
Phone
(516) 208-5388
Fax
(516) 665-3517
NPI assigned
May 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 006275 NY Primary

Addresses

Primary practice location

46 E Park Ave
Long Beach, NY 11561-3503

Mailing address

967 Newbridge Rd
North Bellmore, NY 11710-1620
Phone (917) 399-5277

Other practice location 1

967 Newbridge Rd
North Bellmore, NY 11710-1620
Phone (516) 802-0031

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Zhang Acupuncturist CurrentSince Sep 20, 2020 Accepting new patients

Locations

46 E Park Ave
Fl 2
Long Beach, NY 11561
Phone (516) 208-5388

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1477043644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 NEWBRIDGE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101620",
            "telephone_number": "917-399-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613503",
            "telephone_number": "516-208-5388",
            "fax_number": "516-665-3517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "967 Newbridge Rd",
            "address_purpose": "LOCATION",
            "city": "North Bellmore",
            "state": "NY",
            "postal_code": "117101620",
            "country_code": "US",
            "telephone_number": "516-802-0031",
            "fax_number": "516-802-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "MIKE",
        "name_prefix": "Dr.",
        "credential": "DAOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.