Individual provider Active NPI

Maria E Yakkey, LAC

  • Acupuncturist
  • Oakdale, NY
National Provider Identifier
1962002212
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006831-01 Issued in NY
Practice address
1213 A Montauk Hwy
Oakdale, NY 11769-1702
Phone
(516) 250-0101
Fax
(631) 751-8298
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006831-01 NY Primary
Acupuncturist 171100000X 006837 NY

Addresses

Primary practice location

1213 A Montauk Hwy
Oakdale, NY 11769-1702

Mailing address

45 Midwood Ave
Farmingdale, NY 11735-5350
Phone (631) 404-7073

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
006831-01NYMDAcupuncturist
006837NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
My Acupuncturist PLLC Acupuncturist CurrentSince Mar 1, 2021 Accepting new patients
Modern Roots Acupuncture PC Acupuncturist PastSince Dec 1, 2020 Accepting new patients

Locations

1213A Montauk Hwy
Oakdale, NY 11769
Phone (516) 250-0101

889 Montauk Hwy
Oakdale, NY 11769
Phone (631) 337-2022

Organizations & group practices 2

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1962002212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MIDWOOD AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355350",
            "telephone_number": "631-404-7073",
            "fax_number": "631-751-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 A MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691702",
            "telephone_number": "516-250-0101",
            "fax_number": "631-751-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKKEY",
        "first_name": "MARIA",
        "middle_name": "E",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006831-01",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.