Individual provider Active NPI

Michele Maratea, LAC

  • Acupuncturist
  • Brightwaters, NY
National Provider Identifier
1629666102
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006527
Practice address
175 Orinoco Dr Ste F
Brightwaters, NY 11718-1313
Phone
(800) 908-7629
NPI assigned
Jan 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 006527 Primary

Addresses

Primary practice location

175 Orinoco Dr Ste F
Brightwaters, NY 11718-1313

Mailing address

175 Orinoco Dr Ste F
Brightwaters, NY 11718-1313
Phone (800) 908-7629

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

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1629666102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ORINOCO DR STE F",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181313",
            "telephone_number": "800-908-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ORINOCO DR STE F",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181313",
            "telephone_number": "800-908-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARATEA",
        "first_name": "MICHELE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": "006527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brightwaters, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.