Individual provider Active NPI

Joowon Seo, L.AC

  • Acupuncturist
  • New Hyde Park, NY
National Provider Identifier
1548803166
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005975 Issued in NY
Practice address
516 Lakeville Rd
New Hyde Park, NY 11040-3006
Phone
(646) 596-1858
Fax
(516) 775-0548
NPI assigned
Oct 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005975 NY Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 032205-01 NY

Addresses

Primary practice location

516 Lakeville Rd
New Hyde Park, NY 11040-3006

Mailing address

516 Lakeville Rd
New Hyde Park, NY 11040-3006
Phone (646) 596-1858

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
005975NYMDPhysical Therapist
032205-01NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JS Acupuncture & Massage Therapy PC Acupuncturist Current Accepting new patients
JS Acupuncture & Massage Therapy PC Acupuncturist Current Accepting new patients

Locations

516 Lakeville Rd
New Hyde Park, NY 11040
Phone (516) 775-0778

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1548803166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403006",
            "telephone_number": "646-596-1858",
            "fax_number": "516-775-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403006",
            "telephone_number": "646-596-1858",
            "fax_number": "516-775-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "JOOWON",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-26",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005975",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032205-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.