Individual provider Active NPI

Wade Newton De Loe, M.S.,L.AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1831425909
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003718-1 Issued in NY
Practice address
560 W 170TH St
Suite 6B
New York, NY 10032-3324
Phone
(718) 877-0292
NPI assigned
Oct 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 003718-1 NY Primary
Acupuncturist 171100000X KO000619 PA

Addresses

Primary practice location

560 W 170TH St
Suite 6B
New York, NY 10032-3324

Mailing address

560 W 170TH St
Suite 6B
New York, NY 10032-3324
Phone (718) 877-0292

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
KO000619PAMDAcupuncturist
003718-1NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1831425909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W 170TH ST",
            "address_2": "SUITE 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323324",
            "telephone_number": "718-877-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 170TH ST",
            "address_2": "SUITE 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323324",
            "telephone_number": "718-877-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOE",
        "first_name": "WADE",
        "middle_name": "NEWTON",
        "name_prefix": "Mr.",
        "credential": "M.S.,L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003718-1",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "KO000619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.