Kimberly M Spatafora, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006506 Issued in NY

Practice address

53345 Main Rd Ste 6-1
Southold, NY 11971-4643

Phone

(643) 765-2100

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eastern Sun Acupuncture

  • Acupuncturist
  • Southold, NY
  • NPI 1801362207
  NPD (past)

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1952862583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 15TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117042607",
            "telephone_number": "631-428-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53345 MAIN RD STE 6-1",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119714643",
            "telephone_number": "643-765-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATAFORA",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay P Slotkin, MD
• Mary Anne Soto, RN
• Southold Acupuncture & Massage Therapy PLLC
• Southold Pharmacy Inc
• Southold Ufsd
• Speech, Language & Swallowing Consultants P.C.
• Steven J.N. Chierchie, D.C., P.C.
• Amy Storch, LCSW
• SVC of Southold LLC
• John J Sweeney, R.D. , C.D.N.

• Acupuncturist in Southold, NY
• Providers in Southold, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.