Gaston Robert Olsen, LAC, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006770-01 Issued in NY

Practice address

32 Union SQ E Ste 612N
New York, NY 10003-3243

Phone

(917) 658-9097

NPI assigned

Jun 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Body and Qi Integrated Therapies, LLC

  • Acupuncturist
  • New York, NY
  • NPI 1558030403
  NPD Authorized official

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1811555634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E STE 612N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033243",
            "telephone_number": "917-658-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E STE 612N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033243",
            "telephone_number": "917-658-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "GASTON",
        "middle_name": "ROBERT",
        "credential": "LAC, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018439",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018439-01",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006770-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehdi Mohammed Oloomi, MD
• Tosin Olowu, OT
• Olp Medical Consultant
• Anne Elizabeth Olsen, MD
• Catherine Winifred Olsen, LMSW
• Mary C. Olsen, LCSW
• Sesle Katelsen Olsen, CRNA
• Angela Olshanetsky, LAC
• Janice E Olshever, BS, RPT
• Debra Olson-Plastrik, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.