Active NPI
The Way of Acupuncture P.C.
- Acupuncturist
- Port Jefferson Station, NY
National Provider Identifier
1497296941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2813
- Legal business name
- THE WAY OF ACUPUNCTURE P.C.
- Practice address
- 5225 Nesconset Hwy
BLDG 1, Ste 1
Port Jefferson Station, NY 11776-2053 - Phone
- (631) 559-2220
- NPI assigned
- Mar 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Petruzzi, L.AC., L.M.T.
- Title
- Owner
- Phone
- (631) 559-2220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2813 | NY | Primary |
Addresses
Primary practice location
5225 Nesconset Hwy
BLDG 1, Ste 1
Port Jefferson Station, NY 11776-2053
Mailing address
3 Custom LN
Port Jefferson Station, NY 11776-2709
Phone (631) 559-2220
National Provider Directory
National Provider DirectoryLocations
5225 Nesconset Hwy
Ste 1
Port Jefferson Station, NY 11776
Phone (631) 209-1477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489622400000",
"number": "1497296941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CUSTOM LN",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762709",
"telephone_number": "631-559-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 NESCONSET HWY",
"address_2": "BLDG 1, STE 1",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762053",
"telephone_number": "631-559-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WAY OF ACUPUNCTURE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-16",
"last_updated": "2017-03-16",
"status": "A",
"authorized_official_last_name": "PETRUZZI",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-559-2220",
"authorized_official_credential": "L.AC., L.M.T."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NY",
"license": "2813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.