Organization Active NPI

Mikyung Lee Acupuncture PC

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1770236309
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MIKYUNG LEE ACUPUNCTURE PC
Practice address
4021 159TH St Ste 3F
Flushing, NY 11358-1667
Phone
(646) 300-5990
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Mikyung LeeNPI 1326791955
Title
Provider
Phone
(646) 300-5990

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4021 159TH St Ste 3F
Flushing, NY 11358-1667

Mailing address

4021 159TH St Ste 3F
Flushing, NY 11358-1667
Phone (646) 300-5990

National Provider Directory

National Provider Directory

Locations

4021 159th St
Ste 3F
Flushing, NY 11358
Phone (646) 300-5990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1770236309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 159TH ST STE 3F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581667",
            "telephone_number": "646-300-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 159TH ST STE 3F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581667",
            "telephone_number": "646-300-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKYUNG LEE ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIKYUNG",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "646-300-5990"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.