Edwin Michael Neil Wiltse, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006308-1 Issued in NY

Practice address

43 E 10TH St Apt 6H
New York, NY 10003-6106

Phone

(212) 804-7267

Fax

(212) 518-0578

NPI assigned

Jul 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Wiltse Other name

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.

• City Soul Acupuncture, PLLC

  • Acupuncturist
  • New York, NY
  • NPI 1760250831
  NPD
• Regenerate Acupuncture

  • Acupuncturist
  • New York, NY
  • NPI 1053194688
  NPD

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1992282339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E 10TH ST APT 6H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036106",
            "telephone_number": "212-804-7267",
            "fax_number": "212-518-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E 10TH ST APT 6H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036106",
            "telephone_number": "212-804-7267",
            "fax_number": "212-518-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSE",
        "first_name": "EDWIN MICHAEL",
        "middle_name": "NEIL",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006308-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "006308-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "WILTSE",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tuere Wilson, LPN
• Val Lorie A. Wilson, MS ED
• Vena M Wilson, DSW, LCSW
• Yadira Wilson, LMT
• Haley Wilt, RN
• Lisa Wiltse, L.AC., DIPL.AC.
• Ashley Meghan Wiltshire, MD
• Clare Wiltshire
• Michelle Caritta Wiltshire, PSY.D.
• Frederick Wimbush, CASAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.