Active NPI
Richard Jyan, ACUPUNCTURIST
- Acupuncturist
- Little Neck, NY
National Provider Identifier
1720229271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 003940
- Practice address
- 5819 262ND St
Little Neck, NY 11362-2514 - Phone
- (718) 631-1468
- Fax
- (718) 228-6592
- NPI assigned
- Mar 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 003940 | NY | Primary |
Addresses
Primary practice location
5819 262ND St
Little Neck, NY 11362-2514
Mailing address
5819 262ND St
Little Neck, NY 11362-2514
Phone (718) 631-1468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003940 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236988800000",
"number": "1720229271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5819 262ND ST",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622514",
"telephone_number": "718-631-1468",
"fax_number": "718-228-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5819 262ND ST",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622514",
"telephone_number": "718-631-1468",
"fax_number": "718-228-6592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JYAN",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-13",
"last_updated": "2009-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.