Amalia Haddad

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1101 Issued in NY

Practice address

25 Gettysburg Dr
Port Jefferson Station, NY 11776-8034

Phone

(646) 322-0526

NPI assigned

Apr 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amalia Haddad Licensed Acupuncturist, PC

  • Acupuncturist
  • Port Jefferson Station, NY
  • NPI 1760917678
  NPD (past) Authorized official

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1730614645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GETTYSBURG DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768034",
            "telephone_number": "646-322-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GETTYSBURG DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768034",
            "telephone_number": "646-322-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "AMALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jin Guo
• Deepti Gupta, M.D.
• Nipun Gupta
• Gerard Steven Guzman, RPA-C
• Gretchen Elizabeth Haase, DPT
• Kimberly Marie Haggerty
• Morgan Hall
• Elisa Han, PH.D.
• Jessica Rose Hanley
• Tina-Louise Hannel

• Acupuncturist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.