Organization Active NPI

The Way of Acupuncture P.C.

  • Acupuncturist
  • Port Jefferson Station, NY
National Provider Identifier
1497296941
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2813 Issued in NY
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

Updated by the provider on Mar 16, 2017

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.