Song Ho Maeng, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006830 Issued in NY

Practice address

1950 Hempstead Tpke
East Meadow, NY 11554-1712

Phone

(516) 222-2666

NPI assigned

Oct 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1760089023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22129 64TH AVE # B",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541712",
            "telephone_number": "516-222-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAENG",
        "first_name": "SONG",
        "middle_name": "HO",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02662",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC500313",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Mack, M.D.
• Katrina Marie Macken
• Joseph Mackey, MD
• Sumedha Madan
• Megan Madden, DPT
• Sai Greeshma Magam, MD
• Sai Reshma Magam, MBBS
• Thomas Maguffin, DPT
• Aicha Mahfoudhi
• Salwa Makar, MS, OTR/L

• Acupuncturist in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.