Individual provider Active NPI

Daniel Vincent Wunderlich, DACM, LAC, LMT

  • Acupuncturist
  • New York, NY
National Provider Identifier
1922777978
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3250 Issued in NY
Practice address
70 E 10TH St
Ste 1F
New York, NY 10003-5105
Phone
(212) 466-0806
Fax
(212) 466-0807
NPI assigned
Sep 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP4396 FL
Massage Therapist 225700000X 16598 NY
Massage Therapist 225700000X MA101241 FL
Acupuncturist 171100000X 3250 NY Primary

Addresses

Primary practice location

70 E 10TH St
Ste 1F
New York, NY 10003-5105

Mailing address

70 E 10TH St
Ste 1F
New York, NY 10003-5105
Phone (212) 466-0806

Other practice location 1

495 Suwanee Cir
Tampa, FL 33606-3828
Phone (917) 693-8631

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
AP4396FLMDAcupuncturist
3250NYMDAcupuncturist
MA101241FLMDMassage Therapist
16598NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Acupuncture, PLLC Acupuncturist Current Accepting new patients

Locations

70 E 10th St
Apt 1F
New York, NY 10003
Phone (212) 466-0806

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1922777978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 10TH ST",
            "address_2": "STE 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035105",
            "telephone_number": "212-466-0806",
            "fax_number": "212-466-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 10TH ST",
            "address_2": "STE 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035105",
            "telephone_number": "212-466-0806",
            "fax_number": "212-466-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 Suwanee Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063828",
            "country_code": "US",
            "telephone_number": "917-693-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "DANIEL",
        "middle_name": "VINCENT",
        "credential": "DACM, LAC, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-12",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4396",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "16598",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA101241",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "3250",
            "primary": true
        }
    ],
    "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 Jan 2, 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.