Organization Active NPI

Ethereal TCM LLC

  • Acupuncturist
  • Astoria, NY
National Provider Identifier
1477443273
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ETHEREAL TCM LLC
Practice address
3206 29TH St Apt 4D
Astoria, NY 11106-3464
Phone
(646) 881-3917
NPI assigned
Jul 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Authorized official

Name
Xin TaoNPI 1841770369
Title
Acupuncturist
Phone
(646) 881-3917

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 Primary

Addresses

Primary practice location

3206 29TH St Apt 4D
Astoria, NY 11106-3464

Mailing address

3206 29TH St Apt 4D
Astoria, NY 11106-3464

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.

NPI Registry JSON

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1477443273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 29TH ST APT 4D",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 29TH ST APT 4D",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063464",
            "telephone_number": "646-881-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHEREAL TCM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "TAO",
        "authorized_official_first_name": "XIN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "646-881-3917"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; 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.