Organization Active NPI

Aqua Acupuncture New York PC

  • Acupuncturist
  • Long Island City, NY
National Provider Identifier
1497620629
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
AQUA ACUPUNCTURE NEW YORK PC
Practice address
1143 47TH Ave FL 2
Long Island City, NY 11101-5418
Phone
(646) 450-2421
NPI assigned
Oct 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Jungmin HanNPI 1356925291
Title
Owner
Phone
(646) 642-1236

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1143 47TH Ave FL 2
Long Island City, NY 11101-5418

Mailing address

4332 22ND St Ste 203
Long Island City, NY 11101-5077
Phone (646) 450-2475

National Provider Directory

National Provider Directory

Locations

1143 47th Ave
Fl 2
Long Island City, NY 11101
Phone (646) 450-2421

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": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1497620629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 22ND ST STE 203",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015077",
            "telephone_number": "646-450-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 47TH AVE FL 2",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015418",
            "telephone_number": "646-450-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA ACUPUNCTURE NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "JUNGMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-642-1236"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.