Eunkyung Bae, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5148 Issued in NY

Practice address

4 Humming Lane
Commack, NY 11725

Phone

(631) 624-0346

NPI assigned

Sep 12, 2013

Last updated

Sep 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Setauket Li Acupuncture PC

  • Acupuncturist
  • East Setauket, NY
  • NPI 1295381341
  NPD Authorized official
• Setauket Li Acupuncture PC

  • Acupuncturist
  • East Setauket, NY
  • NPI 1396456810
  NPD

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1851726608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HUMMING LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252512",
            "telephone_number": "631-624-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HUMMING LANE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-624-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "EUNKYUNG",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "5148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Azzato, M.A. SPECIAL ED
• B.T.P. Vision Inc. (Commack Vision Center)
• Abdul Baalbakii, OTR/L
• Bab Nuclear Radiology, PC (BAB Radiology Commack)
• Babbling Brook Speech and Language Therapy, PLLC
• David S Bagshaw
• Emily Baisley
• Balanced Gait Physical Therapy P.C
• Brian M Baldwin, LCSW
• Richard A Balter, MD

• Acupuncturist in Commack, NY
• Providers in Commack, 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 12, 2013; 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.