Individual provider Active NPI

Beth Rordam, DAC, OMD

  • Acupuncturist
  • Mount Kisco, NY
National Provider Identifier
1841669702
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005643 Issued in NY
Practice address
125 E Main St Ste 204
Mount Kisco, NY 10549-2321
Phone
(914) 924-3371
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 026169 NY
Acupuncturist 171100000X 005643 NY Primary

Addresses

Primary practice location

125 E Main St Ste 204
Mount Kisco, NY 10549-2321

Mailing address

125 E Main St Ste 204
Mount Kisco, NY 10549-2321
Phone (914) 924-3371

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
005643NYMDAcupuncturist
026169NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1841669702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MAIN ST STE 204",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492321",
            "telephone_number": "914-924-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MAIN ST STE 204",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492321",
            "telephone_number": "914-924-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORDAM",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DAC, OMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026169",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.