NPIMap

Organization Active NPI

Amalia Haddad Licensed Acupuncturist, PC

  • Acupuncturist
  • Port Jefferson Station, NY
National Provider Identifier
1760917678
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1101 Issued in NY
Legal business name
AMALIA HADDAD LICENSED ACUPUNCTURIST, PC
Practice address
25 Gettysburg Dr
Port Jefferson Station, NY 11776-8034
Phone
(646) 322-0526
NPI assigned
Apr 28, 2017
Last updated
Apr 28, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
AMALIA HADDAD LICENSED ACUPUNCTURIST, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Amalia Haddad, L.AC.NPI 1730614645
Title
Acupuncturist
Phone
(646) 322-0526

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 1101 NY Primary

Addresses

Primary practice location

25 Gettysburg Dr
Port Jefferson Station, NY 11776-8034

Mailing address

25 Gettysburg Dr
Port Jefferson Station, NY 11776-8034
Phone (646) 322-0526

National Provider Directory

National Provider Directory
Part of
Amalia Haddad Licensed Acupuncturist PC

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": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1760917678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GETTYSBURG DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768034",
            "telephone_number": "646-322-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GETTYSBURG DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768034",
            "telephone_number": "646-322-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMALIA HADDAD LICENSED ACUPUNCTURIST, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMALIA HADDAD LICENSED ACUPUNCTURIST, PC",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "646-322-0526",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.