Xiaode Mou

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

002038 Issued in NY

Practice address

23 Technology Dr
Suite 3
East Setauket, NY 11733-4075

Phone

(631) 246-6461

Fax

(631) 246-6461

NPI assigned

Sep 30, 2007

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

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191110400000",
    "number": "1871780296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TERRYVILLE RD",
            "address_2": "#1A",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761300",
            "telephone_number": "917-648-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 TECHNOLOGY DR",
            "address_2": "SUITE 3",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334075",
            "telephone_number": "631-246-6461",
            "fax_number": "631-246-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOU",
        "first_name": "XIAODE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-30",
        "last_updated": "2007-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan N. Chen M.D. P.C.
• Joseph Sergio Morra, DPM
• Melissa M. Mortensen-Welch, M.D.
• Abigail Sophia Mortenson
• Jacqueline Nicole Mortenson, MA CCC-SLP
• Roberto Mercene Muhi, ANP
• Jeffrey S Muhlrad, MD
• Athena Mullady, OTR/L
• Jennifer M Mulvey Fitzgerald, NP, CDE
• Maryanne Munnelly, LCSW

• Acupuncturist in East Setauket, NY
• Providers in East Setauket, 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 30, 2007; 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.