Julia Bennett, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003409 Issued in NY

Practice address

380 Marlborough Rd
Brooklyn, NY 11226-5618

Phone

(718) 940-9343

NPI assigned

Dec 13, 2019

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

Electronic endpoints 1

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.

• Third Root Acupuncture & Massage, PLLC

  • Acupuncturist
  • Brooklyn, NY
  • NPI 1003385147
  NPD (past) Authorized official

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1639717283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 LENOX RD APT 5D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262280",
            "telephone_number": "517-710-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MARLBOROUGH RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265618",
            "telephone_number": "718-940-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "soapnotes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "380 Marlborough Rd",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112265618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Bennett, SLP
• Brenda Bennett
• Candice Bennett, PHD, LMSW
• Emily C Bennett, M.A. CCC-SLP
• Jazmine Bennett
• Keisha Bennett
• Keisha Simone Bennett, FNP
• Laura Bennett
• Lisa Bennett, LMHC
• O'Darius Bennett

• Acupuncturist in Brooklyn, NY
• Providers in Brooklyn, 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 13, 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.