Organization Active NPI

Fifth Avenue Acup Health Inc

  • Clinic/Center
  • New York, NY
National Provider Identifier
1629637863
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FIFTH AVENUE ACUP HEALTH INC
Practice address
2 W 45TH St Ste 1702
New York, NY 10036-4221
Phone
(646) 861-2060
Fax
(646) 861-2041
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Man Mary NG, L.AC.
Title
Acupuncturist
Phone
(646) 861-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2 W 45TH St Ste 1702
New York, NY 10036-4221

Mailing address

2 W 45TH St Ste 1702
New York, NY 10036-4221
Phone (646) 861-2060

Other identifiers 1

IdentifierTypeStateIssuer
0768OtherNYACUPUNCTURE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1629637863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 45TH ST STE 1702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364221",
            "telephone_number": "646-861-2060",
            "fax_number": "646-861-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 45TH ST STE 1702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364221",
            "telephone_number": "646-861-2060",
            "fax_number": "646-861-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE ACUP HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "MAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "646-861-2060",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "0768",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.