Acttc Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

008375-1 Issued in NY

Legal business name

ACTTC CORP

Practice address

277 Grand St
Suite 205
New York, NY 10002-4417

Phone

(201) 463-9594

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Jing Wang, MSOTR/L

Title

Manager

Phone

(201) 463-9594

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710996293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HEATH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 GRAND ST",
            "address_2": "SUITE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024417",
            "telephone_number": "201-463-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTTC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-463-9594",
        "authorized_official_credential": "MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "008375-1",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "46TR00287300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.