Individual provider Active NPI

Eyal Yona Yamin

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1548979313
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007162 Issued in NY
Practice address
101 N 10TH St Apt 304
Brooklyn, NY 11249-1910
Phone
(917) 446-9868
NPI assigned
Nov 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 007162 NY Primary

Addresses

Primary practice location

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

Mailing address

531 W 112TH St Apt 8D
New York, NY 10025-1647
Phone (412) 294-2069

Other practice location 1

531 W 112th St Apt 8D
New York, NY 10025-1647
Phone (412) 294-2069

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
007162NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Heavenly Well P.C. Acupuncturist CurrentSince May 28, 2023 Accepting new patients

Organizations & group practices 1

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1548979313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W 112TH ST APT 8D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251647",
            "telephone_number": "412-294-2069"
        },
        {
            "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": "531 W 112th St Apt 8D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100251647",
            "country_code": "US",
            "telephone_number": "412-294-2069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YONA YAMIN",
        "first_name": "EYAL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 2022; 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.