Sufen Gong, LIC.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003061 Issued in NY

Practice address

4513 Old Vestal Rd
Vestal, NY 13850-3571

Phone

(607) 729-7001

Fax

(607) 729-6434

NPI assigned

Dec 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sufen Gong Acupuncture Clinic

  • Acupuncturist
  • Vestal, NY
  • NPI 1568719078
  NPD (past) Authorized official
• Jill Van Pelt LCSW PLLC

  • Clinical Social Worker
  • Vestal, NY
  • NPI 1992119283
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1629253307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 OLD VESTAL RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503571",
            "telephone_number": "607-729-7001",
            "fax_number": "607-729-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 OLD VESTAL RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503571",
            "telephone_number": "607-729-7001",
            "fax_number": "607-729-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "SUFEN",
        "name_prefix": "Mrs.",
        "credential": "LIC.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald M Glauber, PHD
• GN Hearing Care Corporation
• Marion Gnadt, FNP-C
• Amy Goetz
• Thomas Henry Golebiewski, D.C.
• Greater Binghamton LCSW,PLLC
• Alvin Greenberg, M.D.
• Alicia Grunder-Laughlin, MPS, ATR-BC, LCAT
• Guthrie Clinic LTD
• Guthrie Health

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.