Smithtown Acupuncture and Wellness PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

001316 Issued in NY

Legal business name

SMITHTOWN ACUPUNCTURE AND WELLNESS PC

Practice address

20 Gilbert Ave
Ste. 202
Smithtown, NY 11787-5326

Phone

(631) 265-5656

Fax

(631) 265-5660

NPI assigned

May 23, 2007

Last updated

Jan 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Moss, L.AC., L.M.T.NPI 1346364817

Title

President

Phone

(631) 265-5656

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Kenneth Moss, L.AC.

  • Acupuncturist
  • Smithtown, NY
  • NPI 1346364817
  NPD (past) Authorized official
• Gina Bianculli

  • Acupuncturist
  • Saint James, NY
  • NPI 1659002442
  NPD (past)
• Leslie Martin, LMT

  • Massage Therapist
  • Smithtown, NY
  • NPI 1952811804
  NPD (past)
• Kaitlynn Christine McGlone, L. AC

  • Acupuncturist
  • Smithtown, NY
  • NPI 1285109868
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1477763068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GILBERT AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875310",
            "telephone_number": "631-265-5656",
            "fax_number": "631-265-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GILBERT AVE",
            "address_2": "STE. 202",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875326",
            "telephone_number": "631-265-5656",
            "fax_number": "631-265-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHTOWN ACUPUNCTURE AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-265-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC., L.M.T."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Smith
• Kerri Michelle Smith, LPN
• Manisha Smith, LPN
• Mary Catherine Smith, LCSW
• Stephanie Smith
• Smithtown Central School District
• Smithtown Endodontics P.C.
• Smithtown Family Health NP PC
• Smithtown Family Wellness NP PC
• Smithtown Fire District

• Acupuncturist in Smithtown, NY
• Providers in Smithtown, 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 30, 2008; 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.