Active NPI
Luojia Gong, LAC & OMD
- Acupuncturist
- Staten Island, NY
National Provider Identifier
1811026875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002273
- Practice address
- 180 Rose Ave
Staten Island, NY 10306 - Phone
- (718) 816-1666
- Fax
- (718) 876-0996
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 002273 | NY | Primary |
Addresses
Primary practice location
180 Rose Ave
Staten Island, NY 10306
Mailing address
180 Rose Ave
Staten Island, NY 10306
Phone (718) 816-1666
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002273 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1811026875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 ROSE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10306",
"telephone_number": "718-816-1666",
"fax_number": "718-876-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 ROSE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10306",
"telephone_number": "718-816-1666",
"fax_number": "718-876-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONG",
"first_name": "LUOJIA",
"name_prefix": "Mrs.",
"credential": "LAC & OMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.