Functional Health Acupuncture and Massage Therapy PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005637 Issued in NY

Legal business name

FUNCTIONAL HEALTH ACUPUNCTURE AND MASSAGE THERAPY PLLC

Practice address

3801 23Rd Ave
Unit 100
Astoria, NY 11105-1532

Phone

(917) 868-2480

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Devin McGilvery, L. AC., LMTNPI 1063885242

Title

Owner

Phone

(917) 868-2480

Specialties & licenses 1

Addresses

Other names 1

• Functional Health Acupuncture Doing business as

Locations

Practitioners 1

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

• Devin McGilvery, L.AC., LMT

  • Acupuncturist
  • Astoria, NY
  • NPI 1063885242
  NPD (past) Authorized official

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1487027694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 23RD AVE",
            "address_2": "UNIT 100",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051532",
            "telephone_number": "917-868-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 23RD AVE",
            "address_2": "UNIT 100",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051532",
            "telephone_number": "917-868-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH ACUPUNCTURE AND MASSAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "MCGILVERY",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-868-2480",
        "authorized_official_credential": "L. AC., LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Health Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.