NPIMap

Organization Active NPI

Heavenly Well P.C.

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1528575016
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005057 Issued in NY
Legal business name
HEAVENLY WELL P.C.
Practice address
101 N 10TH St Apt 304
Brooklyn, NY 11249-1910
Phone
(917) 446-9868
NPI assigned
Jan 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Bart Allan Beckermann, L.AC.NPI 1992142616
Title
President
Phone
(718) 930-2219

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 005057 NY Primary

Addresses

Primary practice location

101 N 10TH St Apt 304
Brooklyn, NY 11249-1910

Mailing address

101 N 10TH St Apt 304
Brooklyn, NY 11249-1910
Phone (718) 930-2219

Other practice location 1

166 Midwood St
Brooklyn, NY 11225-5010
Phone (718) 930-2219

Other names 1

  • Acupuncture Williamsburg Doing business as

National Provider Directory

National Provider Directory

Locations

650 Broadway
Fl 4
New York, NY 10012
Phone (646) 856-1132

Practitioners & affiliated clinicians

Practitioners 6

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": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1528575016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 10TH ST APT 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112491910",
            "telephone_number": "718-930-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 10TH ST APT 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112491910",
            "telephone_number": "917-446-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Midwood St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112255010",
            "country_code": "US",
            "telephone_number": "718-930-2219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEAVENLY WELL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "BECKERMANN",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-930-2219",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acupuncture Williamsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.