Radiance Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

RADIANCE ACUPUNCTURE

Practice address

15 Echo Ave
Mount Sinai, NY 11766-2000

Phone

(631) 476-4855

NPI assigned

Nov 10, 2023

Organization subpart

No

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

Authorized official

Name

Gaetano PittalaNPI 1396297032

Title

Owner

Phone

(631) 745-1009

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Gaetano Pittala, LAC, LMT

  • Acupuncturist
  • Mount Sinai, NY
  • NPI 1396297032
  NPD Authorized official

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1508630583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TUDOR LN",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ECHO AVE",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662000",
            "telephone_number": "631-476-4855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 Route 25A Ste 2",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "117642514",
            "country_code": "US",
            "telephone_number": "631-237-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIANCE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "PITTALA",
        "authorized_official_first_name": "GAETANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-745-1009"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence A. Propper, MSW LCSW
• Kristen Quinn
• Yenmy Quintana, NP
• Anthony Thomas Quitoni, D.M.D.
• Alfred Raciti, M.D.
• Nicole Randazzo
• Raquel Bouton
• Leanne Raynor, TEACHER OF SWD
• Scott Re', L.AC
• Kevin M Reilly, D.D.S.

• Acupuncturist in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.