Individual provider Active NPI

Qin Gao, PHARM D/L.AC

  • Acupuncturist
  • Rockville, MD
National Provider Identifier
1629391487
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02940 Issued in MD
Practice address
2202 Pinneberg Ave
Rockville, MD 20851-1560
Phone
(914) 659-0083
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006463 NY
Pharmacist 183500000X 053344 NY
Acupuncturist 171100000X U02940 MD Primary

Addresses

Primary practice location

2202 Pinneberg Ave
Rockville, MD 20851-1560

Mailing address

2202 Pinneberg Ave
Rockville, MD 20851-1560
Phone (914) 659-0083

Other practice location 1

15 E Clinton Ave
Irvington, NY 10533-2308
Phone (914) 659-0083

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
U02940MDMDAcupuncturist
006463NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Acupuncture L.L.C. Acupuncturist CurrentSince Oct 13, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1629391487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 PINNEBERG AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511560",
            "telephone_number": "914-659-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 PINNEBERG AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511560",
            "telephone_number": "914-659-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Irvington",
            "state": "NY",
            "postal_code": "105332308",
            "country_code": "US",
            "telephone_number": "914-659-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAO",
        "first_name": "QIN",
        "credential": "PHARM D/L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006463",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053344",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.