Individual provider Active NPI

Stephanie Raine Yee Loong, LAC

  • Acupuncturist
  • Middle Village, NY
National Provider Identifier
1588069488
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005458-1 Issued in NY
Practice address
6141 62ND Ave
Middle Village, NY 11379-1008
Phone
(720) 233-7741
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005458-1 NY Primary

Addresses

Primary practice location

6141 62ND Ave
Middle Village, NY 11379-1008

Mailing address

6043 68TH Ave
Ridgewood, NY 11385-4543
Phone (720) 233-7741

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
005458-1NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1588069488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 68TH AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854543",
            "telephone_number": "720-233-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 62ND AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791008",
            "telephone_number": "720-233-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE LOONG",
        "first_name": "STEPHANIE",
        "middle_name": "RAINE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005458-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.