Organization Active NPI

Ronald Sandoval, Acupuncture, Massage Therapy, PC

  • Acupuncturist
  • Huntington, NY
National Provider Identifier
1528217189
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001938 Issued in NY
Legal business name
RONALD SANDOVAL, ACUPUNCTURE, MASSAGE THERAPY, PC
Practice address
1789 E Jericho Tpke
Suite 200
Huntington, NY 11743-5765
Phone
(631) 424-8601
Fax
(631) 424-8603
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Mr. Ronald O Sandoval, L.AC, LMTNPI 1922131747
Title
President
Phone
(631) 424-8601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 001938 NY Primary
Massage Therapist 225700000X 009300 NY

Addresses

Primary practice location

1789 E Jericho Tpke
Suite 200
Huntington, NY 11743-5765

Mailing address

1789 E Jericho Tpke
Suite 200
Huntington, NY 11743-5765
Phone (631) 424-8601

National Provider Directory

National Provider Directory

Locations

1789 E Jericho Tpke
Ste 200
Huntington, NY 11743
Phone (631) 424-8601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1528217189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 E JERICHO TPKE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435765",
            "telephone_number": "631-424-8601",
            "fax_number": "631-424-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 E JERICHO TPKE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435765",
            "telephone_number": "631-424-8601",
            "fax_number": "631-424-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD SANDOVAL, ACUPUNCTURE, MASSAGE THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-424-8601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001938",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "009300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.