Massapequa Acupuncture P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

3667 Issued in NY

Legal business name

MASSAPEQUA ACUPUNCTURE P.C.

Practice address

690 Broadway
Massapequa, NY 11758-2388

Phone

(516) 308-7540

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Jordan Barber, L.AC.

Title

Ceo

Phone

(631) 849-6363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1740787605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77A ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788881",
            "telephone_number": "631-849-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582388",
            "telephone_number": "516-308-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAPEQUA ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-849-6363",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "3667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryann Anne Martin, MSED
• Cassandra L Martinez
• Onaysia Dae Martinez, PT, DPT
• Taylor Martinez, PHARMD
• Marissa Anne Martino, NP
• Massapequa Dermatology PLLC
• Massapequa Family Pharmacy Corp
• Massapequa Fire District
• Massapequa Massage Therapy, PC
• Massapequa Medical PC

• Acupuncturist in Massapequa, NY
• Providers in Massapequa, 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 9, 2018; 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.