Active NPI
Baldwin Wellness Acupuncture, PC
- Acupuncturist
- North Baldwin, NY
National Provider Identifier
1881241974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- BALDWIN WELLNESS ACUPUNCTURE, PC
- Practice address
- 2016 Grand Ave
North Baldwin, NY 11510-2811 - Phone
- (516) 623-2277
- Fax
- (516) 623-2525
- NPI assigned
- Aug 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Young Seok Park, LAC
- Title
- Provider
- Phone
- (516) 623-2277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
2016 Grand Ave
North Baldwin, NY 11510-2811
Mailing address
2016 Grand Ave
North Baldwin, NY 11510-2811
Phone (516) 623-2277
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566432000000",
"number": "1881241974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 GRAND AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115102811",
"telephone_number": "516-623-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 GRAND AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115102811",
"telephone_number": "516-623-2277",
"fax_number": "516-623-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALDWIN WELLNESS ACUPUNCTURE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "YOUNG SEOK",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "516-623-2277",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.