Wolf Moon Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4901 Issued in NY

Legal business name

WOLF MOON INC

Practice address

875 W Jericho Tpke
Smithtown, NY 11787-3229

Phone

(516) 581-7013

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Miss Mary Schmaeling, L.AC.

Title

Vice President

Phone

(516) 581-7013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1609270909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 DEER RD",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873229",
            "telephone_number": "516-581-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF MOON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "SCHMAELING",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-581-7013",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Natalie Winston, O.T.
• Janet L Winter-Fawcett, M.S.
• Steven Nathaniel Witt, DDS
• Kerry Ann Wittich, DC
• Barbara Katarzyna Wojaczek, P.T.
• Deana M Wolf, LCSW
• Kim Hali Wolf, MS, RD, CDN
• Hilda Wolferd
• Nicholas E Wolff, LCSW
• Jeanne M Wolman, LMSW

• Acupuncturist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.