Organization Active NPI

Sacred Silence Acupunture PLLC

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1780186734
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SACRED SILENCE ACUPUNTURE PLLC
Practice address
440 Wilson Ave Ste 2
Brooklyn, NY 11221-5230
Phone
(862) 222-2571
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Julian Keenan Grow, L.AC, MSTOMNPI 1548798622
Title
Founder/Ceo
Phone
(862) 222-2571

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 NY Primary

Addresses

Primary practice location

440 Wilson Ave Ste 2
Brooklyn, NY 11221-5230

Mailing address

620 Wilson Ave
PMB 222
Brooklyn, NY 11221

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.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1780186734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WILSON AVE",
            "address_2": "PMB 222",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WILSON AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112215230",
            "telephone_number": "862-222-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SILENCE ACUPUNTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "GROW",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "KEENAN",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "862-222-2571",
        "authorized_official_credential": "L.AC, MSTOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.