Individual provider Active NPI

Joel Fasciani, LAC

  • Acupuncturist
  • Rhinebeck, NY
National Provider Identifier
1952862864
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006301-1 Issued in NY
Practice address
8 Livingston St Ste 11
Rhinebeck, NY 12572-1556
Phone
(845) 876-8994
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006301-1 NY Primary

Addresses

Primary practice location

8 Livingston St Ste 11
Rhinebeck, NY 12572-1556

Mailing address

353 Old Route 209
Hurley
Apo, AA 12443

Other identifiers 2

IdentifierTypeStateIssuer
006301-1OtherNYNY LICENSE
167036OtherNCCAOM

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
006301-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1952862864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "353 OLD ROUTE 209",
            "address_2": "HURLEY",
            "city": "APO",
            "state": "AA",
            "postal_code": "12443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LIVINGSTON ST STE 11",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721556",
            "telephone_number": "845-876-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCIANI",
        "first_name": "JOEL",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006301-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "006301-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM",
            "identifier": "167036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.