Individual provider Active NPI

Daniel Im Hyoop Yi, LIC. ACUPUNCTURIST

  • Acupuncturist
  • Great Neck, NY
National Provider Identifier
1861662850
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003729 Issued in NY
Practice address
1 E Mill Dr
Apt 1F
Great Neck, NY 11021-4006
Phone
(718) 869-1990
NPI assigned
Mar 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 003729 NY Primary

Addresses

Primary practice location

1 E Mill Dr
Apt 1F
Great Neck, NY 11021-4006

Mailing address

1 E Mill Dr
Apt 1F
Great Neck, NY 11021-4006
Phone (718) 869-1990

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
003729NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Neck Terrace Acupuncture PC Acupuncturist CurrentSince Jun 4, 2023 Accepting new patients

Locations

30 Vesey St
Rm 1803
New York, NY 10007
Phone (212) 267-1700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1861662850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E MILL DR",
            "address_2": "APT 1F",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214006",
            "telephone_number": "718-869-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MILL DR",
            "address_2": "APT 1F",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214006",
            "telephone_number": "718-869-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "DANIEL",
        "middle_name": "IM HYOOP",
        "name_prefix": "Mr.",
        "credential": "LIC. ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.