NPIMap

Organization Active NPI

Synergy Acupuncture PC

  • Acupuncturist
  • Jamaica, NY
National Provider Identifier
1700376233
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003056 Issued in NY
Legal business name
SYNERGY ACUPUNCTURE PC
Practice address
11442 Sutphin Blvd # 1
Jamaica, NY 11434-1021
Phone
(929) 499-3172
Fax
(929) 499-3170
NPI assigned
May 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Okkyoung Park-Kim, LAC
Title
Owner
Phone
(929) 499-3172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 003056 NY Primary

Addresses

Primary practice location

11442 Sutphin Blvd # 1
Jamaica, NY 11434-1021

Mailing address

11442 Sutphin Blvd # 1
Jamaica, NY 11434-1021
Phone (929) 499-3172

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1700376233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 SUTPHIN BLVD # 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341021",
            "telephone_number": "929-499-3172",
            "fax_number": "929-499-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11442 SUTPHIN BLVD # 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341021",
            "telephone_number": "929-499-3172",
            "fax_number": "929-499-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "PARK-KIM",
        "authorized_official_first_name": "OKKYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-499-3172",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.