Active NPI
Xu Dong Fu, L. AC.
- Acupuncturist
- Forest Hills, NY
National Provider Identifier
1972262186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006875
- Practice address
- 10255 63Rd Rd
Forest Hills, NY 11375-1048 - Phone
- (917) 881-7720
- NPI assigned
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 006875 | NY | Primary |
Addresses
Primary practice location
10255 63Rd Rd
Forest Hills, NY 11375-1048
Mailing address
PO Box 526
N Bellmore, NY 11710-0526
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006875 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1972262186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 526",
"city": "N BELLMORE",
"state": "NY",
"postal_code": "117100526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10255 63RD RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751048",
"telephone_number": "917-881-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FU",
"first_name": "XU DONG",
"name_prefix": "Mr.",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.