Active NPI
Vien-Phuong Nini Nguyen Mai, DACM
- Acupuncturist
- New York, NY
National Provider Identifier
1518295229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13365
- Practice address
- 126 5TH Ave Suite 10B
New York, NY 10011 - Phone
- (212) 945-7300
- Fax
- (646) 844-7288
- NPI assigned
- Nov 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 13365 | CA | Primary |
Addresses
Primary practice location
126 5TH Ave Suite 10B
New York, NY 10011
Mailing address
126 5TH Ave Suite 10B
New York, NY 10011
Phone (212) 945-7300
Other practice location 1
11965 Venice Blvd
Suite 207
Los Angeles, CA 90066-3954
Phone (310) 571-8624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13365 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Health and Wellness | Acupuncturist | Current | Accepting new patients |
Locations
126 5th Ave
Rm 10B
New York, NY 10011
Phone (212) 945-7300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- New York, NY
- NPI 1306299664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1518295229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 5TH AVE SUITE 10B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-945-7300",
"fax_number": "646-844-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 5TH AVE SUITE 10B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-945-7300",
"fax_number": "646-844-7288"
}
],
"practiceLocations": [
{
"address_1": "11965 Venice Blvd",
"address_2": "Suite 207",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900663954",
"country_code": "US",
"telephone_number": "310-571-8624",
"fax_number": "310-691-8073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAI",
"first_name": "VIEN-PHUONG NINI",
"middle_name": "NGUYEN",
"credential": "DACM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.