Individual provider Active NPI

Min Wang

  • Acupuncturist
  • Eastchester, NY
National Provider Identifier
1689278343
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006808 Issued in NY
Practice address
475 White Plains Rd Ste 22
Eastchester, NY 10709-5537
Phone
(845) 490-4466
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006808 NY Primary

Addresses

Primary practice location

475 White Plains Rd Ste 22
Eastchester, NY 10709-5537

Mailing address

44 Fleetwood Ave Apt 6E
Mount Vernon, NY 10552-2813
Phone (914) 327-6422

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

LicenseStateTypeSpecialty
006808NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sojourn Acupuncture Wellness Center Acupuncturist CurrentSince Dec 1, 2020 Accepting new patients
Chakra Acupuncture Wellness PLLC Acupuncturist CurrentSince Mar 17, 2024 Accepting new patients

Locations

475 White Plains Rd
Ste 22
Eastchester, NY 10709
Phone (845) 490-4466

475 White Plains Rd
Ste 24
Eastchester, NY 10709
Phone (914) 961-5050

280 Dobbs Ferry Rd
Ste 205
White Plains, NY 10607
Phone (914) 327-6422

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1689278343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FLEETWOOD AVE APT 6E",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522813",
            "telephone_number": "914-327-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WHITE PLAINS RD STE 22",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107095537",
            "telephone_number": "845-490-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.