Active NPI
Michelle Min Rong
- Acupuncturist
- Smithtown, NY
National Provider Identifier
1821712829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000919
- Practice address
- 323 E Middle Country Rd Ste 3
Smithtown, NY 11787-2822 - Phone
- (631) 780-5511
- Fax
- (631) 780-5512
- NPI assigned
- Oct 3, 2022
- 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 | 000919 | NY | Primary |
Addresses
Primary practice location
323 E Middle Country Rd Ste 3
Smithtown, NY 11787-2822
Mailing address
323 E Middle Country Rd Ste 3
Smithtown, NY 11787-2822
Phone (631) 780-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 698653218 | Other | NY | 171100000X |
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 |
|---|---|---|---|
| 000919 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1821712829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 E MIDDLE COUNTRY RD STE 3",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872822",
"telephone_number": "631-780-5511",
"fax_number": "631-780-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 E MIDDLE COUNTRY RD STE 3",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872822",
"telephone_number": "631-780-5511",
"fax_number": "631-780-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONG",
"first_name": "MICHELLE",
"middle_name": "MIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "000919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "171100000X",
"identifier": "698653218",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.