Victor Acupuncture, PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004574 Issued in NY

Legal business name

VICTOR ACUPUNCTURE, PLLC

Practice address

235C Route 31
Macedon, NY 14502-9150

Phone

(315) 310-5538

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Adrienne Joelle Goodman, DACM, L.AC.NPI 1003107632

Title

Doctor of Chinese Medicine

Phone

(315) 310-5538

Specialties & licenses 1

Addresses

Other names 1

• Longevity Complementary Care Center Doing business as

Locations

Practitioners 3

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

• Adrienne Joelle Goodman, DACM, L.AC.

  • Acupuncturist
  • Macedon, NY
  • NPI 1003107632
  NPD Authorized official
• David Amador, L. AC.

  • Acupuncturist
  • Macedon, NY
  • NPI 1558971697
  NPD (past)
• Nicolette Brooke Olree, DC, LAC

  • Acupuncturist
  • Macedon, NY
  • NPI 1023508108
  NPD (past)

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1912371857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235C ROUTE 31",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145029150",
            "telephone_number": "315-310-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235C ROUTE 31",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145029150",
            "telephone_number": "315-310-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "JOELLE",
        "authorized_official_title_or_position": "DOCTOR OF CHINESE MEDICINE",
        "authorized_official_telephone_number": "315-310-5538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longevity Complementary Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Town of Macedon
• Dennis NMN Trovato, DC
• US Medical Supply LLC
• Devan M Veeder, DPT
• Robert Nelson Verkey, P.T., D.P.T.
• Village of Macedon
• Wal-Mart Stores East LP
• Wal-Mart Stores, East, LP
• Wal-Mart Stores, Inc.
• Jason A Wargo, LPN

• All providers in Macedon, NY
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.