Individual provider Active NPI

Jessica Ross, L.AC.

  • Acupuncturist
  • Huntington, NY
National Provider Identifier
1831357284
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
002915 Issued in NY
Practice address
217 Wall St
Suite 203
Huntington, NY 11743-7802
Phone
(631) 549-6755
NPI assigned
May 31, 2008
Last updated
Apr 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 002915 NY Primary

Addresses

Primary practice location

217 Wall St
Suite 203
Huntington, NY 11743-7802

Mailing address

217 Wall St
Suite 203
Huntington, NY 11743-7802
Phone (631) 549-6755

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

LicenseStateTypeSpecialty
002915NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Acupuncture & Healing Acupuncturist Current Accepting new patients

Locations

217 Wall St
Ste 203
Huntington, NY 11743
Phone (631) 549-6755

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1831357284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WALL ST",
            "address_2": "SUITE 203",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437802",
            "telephone_number": "631-549-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WALL ST",
            "address_2": "SUITE 203",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437802",
            "telephone_number": "631-549-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JESSICA",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.