Stephanie Vidic, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006739 Issued in NY

Practice address

180 N Long Beach Rd
Rockville Centre, NY 11570-4409

Phone

(516) 868-8100

NPI assigned

Jul 21, 2020

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Esther Jimenez DC, P.C.

  dba LifeSpa Chiropractic and Wellness

  • Health Maintenance Organization
  • Rockville Centre, NY
  • NPI 1033550116
  NPD

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1811505217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 VERMONT AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725032",
            "telephone_number": "516-425-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N LONG BEACH RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704409",
            "telephone_number": "516-868-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDIC",
        "first_name": "STEPHANIE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Veith
• John J Vella
• Gaurav Verma, M.D
• Steven Verveniotis, DDS
• Lauren Marie Vicari
• Sunita Viegas, FNP-BC
• Village Physical Therapy & Wellness, PC
• Coral Villandre, M.S
• Vincent John Sena, MD
• Micaela Virgilio, NP

• Acupuncturist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.