Organization Active NPI

Am Acupuncture & Massage PC

  • Acupuncturist
  • Kings Park, NY
National Provider Identifier
1952732075
Registry record updated Nov 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004784 Issued in NY
Legal business name
AM ACUPUNCTURE & MASSAGE PC
Practice address
4 Landview Dr
Kings Park, NY 11754-2827
Phone
(631) 278-0654
NPI assigned
Nov 30, 2013
Last updated
Nov 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2013

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

Authorized official

Name
Mr. Andre Misso, L AC. L.M.T.NPI 1609208016
Title
Director
Phone
(631) 278-0654

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
Acupuncturist 171100000X 004784 NY Primary

Addresses

Primary practice location

4 Landview Dr
Kings Park, NY 11754-2827

Mailing address

4 Landview Dr
Kings Park, NY 11754-2827
Phone (631) 278-0654

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385769600000",
    "number": "1952732075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LANDVIEW DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542827",
            "telephone_number": "631-278-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LANDVIEW DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542827",
            "telephone_number": "631-278-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM ACUPUNCTURE & MASSAGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-30",
        "last_updated": "2013-11-30",
        "status": "A",
        "authorized_official_last_name": "MISSO",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-278-0654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L AC. L.M.T."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2013; 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.