Olive Tree Acupuncture P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

OLIVE TREE ACUPUNCTURE P.C.

Practice address

14241 41St Ave Unit 9
Flushing, NY 11355-2451

Phone

(718) 841-7392

Fax

(646) 666-9427

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jaechol Ahn, L.AC.

Title

Acupuncturist

Phone

(718) 841-7392

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1821742628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 41ST AVE UNIT 9",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552451",
            "telephone_number": "718-841-7392",
            "fax_number": "646-666-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 41ST AVE UNIT 9",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552451",
            "telephone_number": "718-841-7392",
            "fax_number": "646-666-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "JAECHOL",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "718-841-7392",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Flushing, NY
• Providers in Flushing, 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 11, 2024; 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.