Organization Active NPI

Inner Waters Acupuncture, PLLC

  • Acupuncturist
  • Kingston, NY
National Provider Identifier
1730944380
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
INNER WATERS ACUPUNCTURE, PLLC
Practice address
360 Broadway
Kingston, NY 12401-5150
Phone
(845) 745-8006
NPI assigned
Feb 13, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Mr. Evan Marks, LAC, MACOMNPI 1578101689
Title
Owner
Phone
(845) 745-8006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

360 Broadway
Kingston, NY 12401-5150

Mailing address

56 Linderman Ave
Kingston, NY 12401-5350
Phone (845) 745-8006

National Provider Directory

National Provider Directory

Locations

360 Broadway
Kingston, NY 12401
Phone (516) 524-2549

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1730944380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LINDERMAN AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015350",
            "telephone_number": "845-745-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015150",
            "telephone_number": "845-745-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WATERS ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-745-8006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC, MACOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.