Active NPI
Joel William Dougherty
- Acupuncturist
- New Hyde Park, NY
National Provider Identifier
1558734640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25 005673
- Practice address
- 516 Lakeville Rd
New Hyde Park, NY 11040-3006 - Phone
- (516) 775-0778
- Fax
- (516) 775-0548
- NPI assigned
- Nov 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25 005673 | NY | Primary |
Addresses
Primary practice location
516 Lakeville Rd
New Hyde Park, NY 11040-3006
Mailing address
PO Box 769
New Hyde Park, NY 11040-0769
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25 005673 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bliss Acupuncture P.C. | Acupuncturist | Past | 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.
-
- Acupuncturist
- New Hyde Park, NY
- NPI 1366890535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1558734640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 769",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110400769"
},
{
"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": "516-775-0778",
"fax_number": "516-775-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "JOEL",
"middle_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-11",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "25 005673",
"primary": true
}
],
"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 Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.