Organization Active NPI

Apollo Wellness Corp

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1922682467
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
APOLLO WELLNESS CORP
Practice address
4160 Main St Ste 305a
Flushing, NY 11355-3894
Phone
(718) 886-3588
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Liqun YangNPI 1174521223
Title
President
Phone
(718) 886-3588

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 Primary

Addresses

Primary practice location

4160 Main St Ste 305a
Flushing, NY 11355-3894

Mailing address

4160 Main St Ste 305a
Flushing, NY 11355-3894
Phone (718) 886-3588

National Provider Directory

National Provider Directory

Locations

4160 Main St
Ste 305A
Flushing, NY 11355
Phone (718) 886-3588

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": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1922682467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST STE 305A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553894",
            "telephone_number": "718-886-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST STE 305A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553894",
            "telephone_number": "718-886-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LIQUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-3588"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.