Organization Active NPI

Living Water Acupuncture, P.C.

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1770291478
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LIVING WATER ACUPUNCTURE, P.C.
Practice address
13630 Maple Ave Ste 2J
Flushing, NY 11355-3868
Phone
(718) 540-8099
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Medical Officer
Title
Ceo
Phone
(718) 540-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

13630 Maple Ave Ste 2J
Flushing, NY 11355-3868

Mailing address

13630 Maple Ave Ste 2J
Flushing, NY 11355-3868

National Provider Directory

National Provider Directory

Locations

13630 Maple Ave
Ste 2J
Flushing, NY 11355
Phone (718) 358-5880

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": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1770291478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 2J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 2J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553868",
            "telephone_number": "718-540-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "OFFICER",
        "authorized_official_first_name": "MEDICAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-540-8099"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_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 Nov 10, 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.