Organization Active NPI

House of Palm Wellness LLC

  • Acupuncturist
  • New City, NY
National Provider Identifier
1629783444
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
HOUSE OF PALM WELLNESS LLC
Practice address
730 Route 304 Ste 11
New City, NY 10956-2842
Phone
(347) 780-0732
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Threnur Velezia HolmanNPI 1588137632
Title
Acupuncturist
Phone
(347) 780-0732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

730 Route 304 Ste 11
New City, NY 10956-2842

Mailing address

730 Route 304 Ste 11
New City, NY 10956-2842
Phone (347) 780-0732

Other practice location 1

33 Route 304
Nanuet, NY 10954-2940
Phone (347) 780-0732

Other practice location 2

16 Squadron Blvd
New City, NY 10956-5259
Phone (347) 780-0732

National Provider Directory

National Provider Directory

Locations

730 Route 304
Ste 11
New City, NY 10956
Phone (347) 780-0732

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1629783444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 ROUTE 304 STE 11",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562842",
            "telephone_number": "347-780-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 ROUTE 304 STE 11",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562842",
            "telephone_number": "347-780-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Route 304",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542940",
            "country_code": "US",
            "telephone_number": "347-780-0732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Squadron Blvd",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109565259",
            "country_code": "US",
            "telephone_number": "347-780-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOUSE OF PALM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "THRENUR",
        "authorized_official_middle_name": "VELEZIA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "347-780-0732"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.