Individual provider Active NPI

Angela Myles, D.AC.

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1740650126
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25 005146 Issued in NY
Practice address
67 35TH St Unit B313
Brooklyn, NY 11232-2236
Phone
(347) 403-9141
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25005146 NY
Acupuncturist 171100000X 005146-01 NY
Massage Therapist 225700000X 27 025664 NY
Acupuncturist 171100000X 25 005146 NY Primary

Addresses

Primary practice location

67 35TH St Unit B313
Brooklyn, NY 11232-2236

Mailing address

67 35TH St Unit B313
Brooklyn, NY 11232-2236
Phone (347) 403-9141

Other practice location 1

80 E 11th St
610
New York, NY 10003-6811
Phone (347) 403-9141

Other identifiers 1

IdentifierTypeStateIssuer
1740650126OtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL laptop Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005146-01NYMDAcupuncturist
25 005146NYMDAcupuncturist
25005146NYMDAcupuncturist
27 025664NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1740650126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 35TH ST UNIT B313",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322236",
            "telephone_number": "347-403-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 35TH ST UNIT B313",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322236",
            "telephone_number": "347-403-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 E 11th St",
            "address_2": "610",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100036811",
            "country_code": "US",
            "telephone_number": "347-403-9141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYLES",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "D.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25005146",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005146-01",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "27 025664",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 005146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "1740650126",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "67 35th St Unit B313",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112322236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.