Organization Active NPI

An Zhuo Ya Acupuncture

  • Acupuncturist
  • Bay Shore, NY
National Provider Identifier
1891294898
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5104-1 Issued in NY
Legal business name
AN ZHUO YA ACUPUNCTURE
Practice address
876 Sunrise Hwy Ste 20
Bay Shore, NY 11706-5908
Phone
(631) 848-3772
Fax
(634) 532-1566
NPI assigned
Feb 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Andrea Blom, M.S., L.AC.NPI 1285133280
Title
Acupuncturist
Phone
(631) 848-3772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 5104-1 NY Primary

Addresses

Primary practice location

876 Sunrise Hwy Ste 20
Bay Shore, NY 11706-5908

Mailing address

876 Sunrise Hwy Ste 20
Bay Shore, NY 11706-5908
Phone (631) 848-3772

National Provider Directory

National Provider Directory

Locations

876 Sunrise Hwy
Ste 20
Bay Shore, NY 11706
Phone (631) 848-3772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1891294898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 SUNRISE HWY STE 20",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065908",
            "telephone_number": "631-848-3772",
            "fax_number": "634-532-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 SUNRISE HWY STE 20",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065908",
            "telephone_number": "631-848-3772",
            "fax_number": "634-532-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN ZHUO YA ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "BLOM",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "631-848-3772",
        "authorized_official_credential": "M.S., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "5104-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.