Individual provider Active NPI

Jayson Adam Luis, L.AC, DIPL. O.M.

  • Acupuncturist
  • Bronx, NY
National Provider Identifier
1699955435
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25 003651 Issued in NY
Practice address
1114 Gerard Ave Apt 22
Bronx, NY 10452-8829
Phone
(718) 772-5987
NPI assigned
Nov 9, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25 003651 NY Primary

Addresses

Primary practice location

1114 Gerard Ave Apt 22
Bronx, NY 10452-8829

Mailing address

1114 Gerard Ave Apt 22
Bronx, NY 10452-8829
Phone (718) 772-5987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25 003651NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Now, P.C. Acupuncturist CurrentSince Nov 28, 2024 Accepting new patients

Locations

3000 John F Kennedy Blvd
Ste 316
Jersey City, NJ 07306
Phone (201) 963-0200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1699955435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 GERARD AVE APT 22",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528829",
            "telephone_number": "718-772-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 GERARD AVE APT 22",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528829",
            "telephone_number": "718-772-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS",
        "first_name": "JAYSON",
        "middle_name": "ADAM",
        "credential": "L.AC, DIPL. O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 003651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.