Active NPI
Gregory Joseph Henderson, LAC. MAC.
- Acupuncturist
- Jeffersonville, PA
National Provider Identifier
1679873459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AK000982
- Practice address
- 1 Liberty Ave
Jeffersonville, PA 19403-3105 - Phone
- (610) 539-5600
- NPI assigned
- Oct 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AK000982 | PA | Primary |
Addresses
Primary practice location
1 Liberty Ave
Jeffersonville, PA 19403-3105
Mailing address
1 Liberty Ave
Jeffersonville, PA 19403-3105
Phone (610) 539-5600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK000982 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1679873459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LIBERTY AVE",
"city": "JEFFERSONVILLE",
"state": "PA",
"postal_code": "194033105",
"telephone_number": "610-539-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LIBERTY AVE",
"city": "JEFFERSONVILLE",
"state": "PA",
"postal_code": "194033105",
"telephone_number": "610-539-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "GREGORY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LAC. MAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK000982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, PA
- Lisa C Coppola, PT
- Joanne Coyle, PSYD
- David L & Henrietta F Cole (The Medicine Shoppe)
- Fran Dematteo, R.N.
- Fornance Physician Services, Inc (Jeffersonville Internal Medicine of Fornance)
- Zakiya R Hill
- HRPC
- Stephanie Anna Ingrassia, R.N.
- Jeffersonville Internal Medicine, P.C.
- Jeffersonville Smiles PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.