Organization Active NPI

New Moon Acupuncture PLLC

  • Health Service Clinic/Center
  • Watertown, MA
National Provider Identifier
1831705904
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NEW MOON ACUPUNCTURE PLLC
Practice address
557 Mount Auburn St Ste 2
Watertown, MA 02472-4102
Phone
(716) 796-3763
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Ece Yildirim, LACNPI 1760875496
Title
Acupuncturist
Phone
(716) 796-3763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

557 Mount Auburn St Ste 2
Watertown, MA 02472-4102

Mailing address

88 Vernon St Unit 2
Waltham, MA 02453-2800
Phone (716) 796-3763

Other identifiers 1

IdentifierTypeStateIssuer
1760875496OtherNPI ENUMERATOR

National Provider Directory

National Provider Directory

Locations

557 Mount Auburn St
Ste 2
Watertown, MA 02472
Phone (716) 796-3763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1831705904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 VERNON ST UNIT 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532800",
            "telephone_number": "716-796-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 MOUNT AUBURN ST STE 2",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724102",
            "telephone_number": "716-796-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "YILDIRIM",
        "authorized_official_first_name": "ECE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "716-796-3763",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENUMERATOR",
            "identifier": "1760875496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.