Active NPI
Chaojun Shi, MD OF TCM
- Acupuncturist
- Rego Park, NY
National Provider Identifier
1801126164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 001325
- Practice address
- 6933 Alderton St
Rego Park, NY 11374-5322 - Phone
- (646) 290-1089
- NPI assigned
- Jan 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 001325 | NY | Primary |
Addresses
Primary practice location
6933 Alderton St
Rego Park, NY 11374-5322
Mailing address
6933 Alderton St
Rego Park, NY 11374-5322
Phone (646) 290-1089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001325 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263081600000",
"number": "1801126164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6933 ALDERTON ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745322",
"telephone_number": "646-290-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6933 ALDERTON ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745322",
"telephone_number": "646-290-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "CHAOJUN",
"credential": "MD OF TCM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-10",
"last_updated": "2010-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "001325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.