Individual provider Active NPI

Michelle N. Iona, DACM, L.AC.

  • Acupuncturist
  • Riverhead, NY
National Provider Identifier
1548387665
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1629 Issued in NY
Practice address
750 Roanoke Ave Ste D
Riverhead, NY 11901-2791
Phone
(631) 653-5314
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1629 NY Primary

Addresses

Primary practice location

750 Roanoke Ave Ste D
Riverhead, NY 11901-2791

Mailing address

750 Roanoke Ave Ste D
Riverhead, NY 11901-2791
Phone (631) 653-5314

Other identifiers 1

IdentifierTypeStateIssuer
1629OtherNYACUPUNCTURE LICENSE NUMBE

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

LicenseStateTypeSpecialty
1629NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1548387665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ROANOKE AVE STE D",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012791",
            "telephone_number": "631-653-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROANOKE AVE STE D",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012791",
            "telephone_number": "631-653-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONA",
        "first_name": "MICHELLE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "1629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE NUMBE",
            "identifier": "1629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.