Active NPI
Ny White Tiger Acupuncture PC
- Acupuncturist
- Woodside, NY
National Provider Identifier
1558058461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- NY WHITE TIGER ACUPUNCTURE PC
- Practice address
- 6019 Roosevelt Ave Ste 221
Woodside, NY 11377-4375 - Phone
- (347) 507-0642
- NPI assigned
- Apr 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Backho Kim, LAC
- Title
- President
- Phone
- (347) 507-0642
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
6019 Roosevelt Ave Ste 221
Woodside, NY 11377-4375
Mailing address
6019 Roosevelt Ave Ste 221
Woodside, NY 11377-4375
Phone (347) 507-0642
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1681948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681948800000",
"number": "1558058461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6019 ROOSEVELT AVE STE 221",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774375",
"telephone_number": "347-507-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 ROOSEVELT AVE STE 221",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774375",
"telephone_number": "347-507-0642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NY WHITE TIGER ACUPUNCTURE PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-20",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "BACKHO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-507-0642",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.