Daejin Yang, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006664 Issued in NY

Practice address

20 Lane Ave
Plainview, NY 11803-5207

Phone

(516) 943-6784

NPI assigned

Jan 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bon Acupuncture PLLC

  • Acupuncturist
  • Syosset, NY
  • NPI 1568042000
  NPD Authorized official

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1477193290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LANE AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035207",
            "telephone_number": "516-943-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LANE AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035207",
            "telephone_number": "516-943-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "DAEJIN",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Plainview",
            "affiliation": "N",
            "address_1": "20 Lane Ave",
            "city": "Plainview",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118035207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fan Wu
• Henley Wu
• Hui Ming Wu
• Inez Yadgarov
• Melissa Yanatos, SLP
• Yuting Ye, MD
• Jillian Michele Yedid, LMHC
• Desmond Kah Sin Yeoh
• Yn and Am Dental Services
• Jinsu Yo, AGNP-C, AGPCNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.