Active NPI
Daniel Nicholson, L.AC
- Acupuncturist
- Piermont, NY
National Provider Identifier
1871979633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0005451
- Practice address
- 449 Piermont Avenue
Piermont, NY 10968 - Phone
- (845) 359-3587
- NPI assigned
- Aug 4, 2015
- Last updated
- Aug 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0005451 | NY | Primary |
Addresses
Primary practice location
449 Piermont Avenue
Piermont, NY 10968
Mailing address
179 Ridge Street
Pearl River, NY 10965
Phone (845) 558-7809
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0005451 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1871979633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 RIDGE STREET",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "10965",
"telephone_number": "845-558-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 PIERMONT AVENUE",
"city": "PIERMONT",
"state": "NY",
"postal_code": "10968",
"telephone_number": "845-359-3587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "DANIEL",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "0005451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piermont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.