Organization Active NPI

Samo Acupuncture P.C.

  • Acupuncturist
  • Hicksville, NY
National Provider Identifier
1922854116
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SAMO ACUPUNCTURE P.C.
Practice address
105 Newbridge Rd
Hicksville, NY 11801-3901
Phone
(718) 986-6404
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Joon Lae KimNPI 1346465507
Title
President
Phone
(718) 986-6404

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

105 Newbridge Rd
Hicksville, NY 11801-3901

Mailing address

4312 159TH St Apt 3D
Flushing, NY 11358-3177

National Provider Directory

National Provider Directory

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": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1922854116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 159TH ST APT 3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEWBRIDGE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013901",
            "telephone_number": "718-986-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMO ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOON LAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-986-6404"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.