Organization Active NPI

Atlantic Acupuncture & Oriental Medical Center

  • Acupuncturist
  • Holly Hill, FL
National Provider Identifier
1699026625
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 1615 Issued in FL
Legal business name
ATLANTIC ACUPUNCTURE & ORIENTAL MEDICAL CENTER
Practice address
721 Ridgewood Ave
#9
Holly Hill, FL 32117-3646
Phone
(386) 947-9009
Fax
(386) 947-9232
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Mr. Jonathan Mark Cohen, A.P.NPI 1982734372
Title
Sole Proprietor
Phone
(386) 947-9009

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 AP 1615 FL Primary

Addresses

Primary practice location

721 Ridgewood Ave
#9
Holly Hill, FL 32117-3646

Mailing address

721 Ridgewood Ave
#9
Holly Hill, FL 32117-3646
Phone (386) 947-9009

National Provider Directory

National Provider Directory

Locations

721 Ridgewood Ave
Ste 9
Holly Hill, FL 32117
Phone (386) 947-9009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1699026625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RIDGEWOOD AVE",
            "address_2": "#9",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173646",
            "telephone_number": "386-947-9009",
            "fax_number": "386-947-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RIDGEWOOD AVE",
            "address_2": "#9",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173646",
            "telephone_number": "386-947-9009",
            "fax_number": "386-947-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC ACUPUNCTURE & ORIENTAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "386-947-9009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.