Organization Active NPI

Just Enjoy Life Acupuncturist and Nurse Practitioner in Adult Health

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1982242418
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
JUST ENJOY LIFE ACUPUNCTURIST AND NURSE PRACTITIONER IN ADULT HEALTH
Practice address
2500 Route 347 BLDG 6D
Stony Brook, NY 11790-2552
Phone
(631) 675-1895
Fax
(631) 675-1896
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Mrs. Jennifer Muilenburg, ANP, L.AC.
Title
Owner/ NP/ Acupuncturist
Phone
(631) 675-1895

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

2500 Route 347 BLDG 6D
Stony Brook, NY 11790-2552

Mailing address

2500 Route 347 BLDG 6D
Stony Brook, NY 11790-2552
Phone (631) 675-1895

Other names 1

  • Just Enjoy Life Acupuncture And Wellness Center Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1982242418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ROUTE 347 BLDG 6D",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902552",
            "telephone_number": "631-675-1895",
            "fax_number": "631-675-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROUTE 347 BLDG 6D",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902552",
            "telephone_number": "631-675-1895",
            "fax_number": "631-675-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST ENJOY LIFE ACUPUNCTURIST AND NURSE PRACTITIONER IN ADULT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "MUILENBURG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/ NP/ ACUPUNCTURIST",
        "authorized_official_telephone_number": "631-675-1895",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just Enjoy Life Acupuncture And Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.