Active NPI
Irma Callahan
- Acupuncturist
- East Northport, NY
National Provider Identifier
1811312440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004017-1
- Practice address
- 1170 5TH Ave
East Northport, NY 11731-2631 - Phone
- (631) 565-0617
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- 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 | 004017-1 | NY | Primary |
Addresses
Primary practice location
1170 5TH Ave
East Northport, NY 11731-2631
Mailing address
1170 5TH Ave
East Northport, NY 11731-2631
Phone (631) 565-0617
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 |
|---|---|---|---|
| 004017-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1811312440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 5TH AVE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117312631",
"telephone_number": "631-565-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 5TH AVE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117312631",
"telephone_number": "631-565-0617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "IRMA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004017-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.