Active NPI
Atlantic Acupuncture & Oriental Medical Center
- Acupuncturist
- Holly Hill, FL
National Provider Identifier
1699026625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 1615
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.
-
- Acupuncturist
- Holly Hill, FL
- NPI 1982734372
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.