NPIMap

Organization Active NPI

Point of Life Acupuncture, P.C.

  • Clinic/Center
  • Port Jefferson Station, NY
National Provider Identifier
1780017079
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0035731 Issued in NY
Legal business name
POINT OF LIFE ACUPUNCTURE, P.C.
Practice address
166 Bergen St
Port Jefferson Station, NY 11776-2602
Phone
(631) 525-2161
NPI assigned
Aug 9, 2013
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Mr. Ryder J. Champouillon, MSOM, L.ACNPI 1265763072
Title
Owner
Phone
(631) 525-2161

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
Clinic/Center 261Q00000X 0035731 NY Primary

Addresses

Primary practice location

166 Bergen St
Port Jefferson Station, NY 11776-2602

Mailing address

166 Bergen St
Port Jefferson Station, NY 11776-2602
Phone (631) 525-2161

National Provider Directory

National Provider Directory

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": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1780017079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BERGEN ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762602",
            "telephone_number": "631-525-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BERGEN ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762602",
            "telephone_number": "631-525-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINT OF LIFE ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "CHAMPOUILLON",
        "authorized_official_first_name": "RYDER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-525-2161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSOM, L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "0035731",
            "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 Aug 9, 2013; 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.