Individual provider Active NPI

Mimi Sangmo Liu, DACM, L.AC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1750180378
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3208480 Issued in NY
Practice address
59 E 54TH St RM 22
New York, NY 10022-9222
Phone
(917) 208-9591
NPI assigned
Mar 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 3208480 NY Primary

Addresses

Primary practice location

59 E 54TH St RM 22
New York, NY 10022-9222

Mailing address

1854 80TH St FL 2
Brooklyn, NY 11214-1714
Phone (917) 208-9591

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
3208480NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1750180378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 80TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141714",
            "telephone_number": "917-208-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST RM 22",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100229222",
            "telephone_number": "917-208-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "MIMI",
        "middle_name": "SANGMO",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "3208480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.