Angela Sun Deacetis, L.AC., DACM, MSTOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

007043-01 Issued in NY

Practice address

42 Baisley Ave
East Rockaway, NY 11518-1815

Phone

(718) 288-3288

NPI assigned

Jun 7, 2022

Last updated

Jul 25, 2025By 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

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1881323723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BAISLEY AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181815",
            "telephone_number": "516-880-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BAISLEY AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181815",
            "telephone_number": "718-288-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Northern Blvd Ste 127",
            "address_purpose": "LOCATION",
            "city": "Greenvale",
            "state": "NY",
            "postal_code": "115481221",
            "country_code": "US",
            "telephone_number": "718-288-3288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEACETIS",
        "first_name": "ANGELA",
        "middle_name": "SUN",
        "name_prefix": "Dr.",
        "credential": "L.AC., DACM, MSTOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007043-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Albany, L.L.C. (CVS Pharmacy # 00745)
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• Carol Davidson, LCSW
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• Giuseppe Dellorusso, MD
• Rosalie Marie Didomenico, LPN
• Joseph Matthew Dilaurenzio, LMHC,LPC, NCC,CASAC
• George Dillon, PTA

• Acupuncturist in East Rockaway, NY
• Providers in East Rockaway, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.