Organization Active NPI

Stonybrooksetauket Acupuncture

  • Acupuncturist
  • South Setauket, NY
National Provider Identifier
1538772470
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
STONYBROOKSETAUKET ACUPUNCTURE
Practice address
5 Ethan Allan CT
South Setauket, NY 11720-4608
Phone
(631) 738-9368
NPI assigned
Aug 29, 2020
Last updated
Aug 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2020

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

Authorized official

Name
Bin Y, MD
Title
Lac/President
Phone
(631) 738-9368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

5 Ethan Allan CT
South Setauket, NY 11720-4608

Mailing address

5 Ethan Allan CT
South Setauket, NY 11720-4608

National Provider Directory

National Provider Directory

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": "1598659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598659200000",
    "number": "1538772470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ETHAN ALLAN CT",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117204608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ETHAN ALLAN CT",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117204608",
            "telephone_number": "631-738-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONYBROOKSETAUKET ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A",
        "authorized_official_last_name": "Y",
        "authorized_official_first_name": "BIN",
        "authorized_official_title_or_position": "LAC/PRESIDENT",
        "authorized_official_telephone_number": "631-738-9368",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.