Active NPI
David London, L.AC.
- Acupuncturist
- Patchogue, NY
National Provider Identifier
1689977142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004390-1
- Practice address
- 680 Route 112 Ste C
Patchogue, NY 11772-1344 - Phone
- (631) 617-0439
- NPI assigned
- Dec 6, 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 | 004390-1 | NY | Primary |
Addresses
Primary practice location
680 Route 112 Ste C
Patchogue, NY 11772-1344
Mailing address
17 Fairharbor Dr
Patchogue, NY 11772-3367
Phone (631) 617-0439
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 |
|---|---|---|---|
| 004390-1 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Within Normal Limits Physical Therapy P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Mineola, NY
- NPI 1508000811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1689977142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 FAIRHARBOR DR",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723367",
"telephone_number": "631-617-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 ROUTE 112 STE C",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721344",
"telephone_number": "631-617-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDON",
"first_name": "DAVID",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-06",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004390-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patchogue, NY
- Lindsay Wedell, Licensed Mental Health Counselor, PLLC
- Elvina C Lingas, MD
- Daysi Marivel Llivicura Marca
- Christine M Lomangino, MT-BC
- Frank Peter Lombardo, MD
- Long Island Community Hospital at NYU Langone Health
- Long Island Community Hospital at NYU Langone Health
- Long Island Pediatrics of Patchogue PC
- Long Island Surgery P.C.
- Ishica Lopez-Ayala, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.