NPIMap

Organization Active NPI

Graceful Lotus Acupuncture , P.C.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1689212219
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GRACEFUL LOTUS ACUPUNCTURE , P.C.
Practice address
42 W 38TH St RM 1204
New York, NY 10018-0054
Phone
(212) 320-3722
NPI assigned
Dec 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Jiyun Shin, LACNPI 1962943100
Title
Acupuncturist
Phone
(917) 670-1500

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

42 W 38TH St RM 1204
New York, NY 10018-0054

Mailing address

6707 242ND St Apt 3F
Douglaston, NY 11362-1998

National Provider Directory

National Provider Directory

Locations

42 W 38th St
Rm 1204
New York, NY 10018
Phone (212) 320-3722

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1689212219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 242ND ST APT 3F",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W 38TH ST RM 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100180054",
            "telephone_number": "212-320-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LOTUS ACUPUNCTURE , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "JIYUN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "917-670-1500",
        "authorized_official_credential": "LAC"
    },
    "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 York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.