Active NPI
Christy Brandstadter
- Acupuncturist
- Riverhead, NY
National Provider Identifier
1609576115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004476-01
- Practice address
- 45 E Main St
Riverhead, NY 11901-2422 - Phone
- (631) 740-9595
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 021435-01 | NY | |
| Acupuncturist | 171100000X | 004476-01 | NY | Primary |
Addresses
Primary practice location
45 E Main St
Riverhead, NY 11901-2422
Mailing address
45 E Main St
Riverhead, NY 11901-2422
Phone (631) 740-9595
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 |
|---|---|---|---|
| 004476-01 | NY | MD | Acupuncturist |
| 021435-01 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acuspa Acupuncture and Massage Therapy | Acupuncturist | Current | Accepting new patients |
| Wild Roots Wellness Inc. | Acupuncturist | Current | Accepting new patients |
Locations
45 E Main St
Riverhead, NY 11901
Phone (631) 740-9595
Organizations & group practices 2
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
- Ridge, NY
- NPI 1871458380
-
- Acupuncturist
- Riverhead, NY
- NPI 1376249698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1609576115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012422",
"telephone_number": "631-740-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012422",
"telephone_number": "631-740-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDSTADTER",
"first_name": "CHRISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "021435-01",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004476-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.