Individual provider Active NPI

Jorge F Sarvide, L.AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1912237553
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004644 Issued in NY
Practice address
133 W 72ND St
Suite 704
New York, NY 10023-3235
Phone
(510) 967-4171
NPI assigned
Jan 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 004644 NY Primary
Acupuncturist 171100000X 13138 CA

Addresses

Primary practice location

133 W 72ND St
Suite 704
New York, NY 10023-3235

Mailing address

21 Riverton Dr.
Nyack, NY 10960
Phone (510) 967-4171

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

LicenseStateTypeSpecialty
13138CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1912237553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RIVERTON DR.",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "510-967-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W 72ND ST",
            "address_2": "SUITE 704",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233235",
            "telephone_number": "510-967-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVIDE",
        "first_name": "JORGE",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004644",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.