Organization Active NPI

Jean Acupuncture P.C.

  • Medical Specialty Clinic/Center
  • Long Island City, NY
National Provider Identifier
1770366635
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
JEAN ACUPUNCTURE P.C.
Doing business as
Lifestyle Acupuncture
Practice address
4332 22ND St # 205-01
Long Island City, NY 11101-5075
Phone
(646) 796-2441
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Philip Jean, L.ACNPI 1801260245
Title
President
Phone
(646) 796-2441

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4332 22ND St # 205-01
Long Island City, NY 11101-5075

Mailing address

4332 22ND St # 205-01
Long Island City, NY 11101-5075
Phone (646) 796-2441

Other names 1

  • Lifestyle Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

4332 22nd St
#20501
Long Island City, NY 11101
Phone (646) 796-2441

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": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1770366635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 22ND ST # 205-01",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015075",
            "telephone_number": "646-796-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 22ND ST # 205-01",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015075",
            "telephone_number": "646-796-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-796-2441",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.