EAST MAIN STREET ACUPUNCTURE PLLC (NPI# 1134768732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134768732 |
| Entity Type | Organization |
| Organization Name | EAST MAIN STREET ACUPUNCTURE PLLC |
| Practice Address |
300 E Main St Ste 2 Smithtown NY 11787-2900 |
| Mailing Address |
77a Route 25a Rocky Point NY 11778-8881 |
| Practice Telephone | 6317806128 |
| Practice Fax Number | 6312564844 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | JORDAN BARBER (MEMBER) |
| Authorized Official Telephone | 6318496363 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Street Address |
300 E MAIN ST STE 2 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553639 | Luke Jansen | Physical Therapist | 300 E Main St Ste 2, Smithtown, NY 11787-2900 | 2020-09-22 |
| 1215569041 | Smithtown Family Wellness Np PC | Nurse Practitioner | 300 E Main St Ste 2, Smithtown, NY 11787-2900 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219855 | Jennifer Elizabeth Leupold | Acupuncturist | 2 Brooksite Dr Ste 220, Smithtown, NY 11787-3492 | 2020-06-15 |
| 1306405626 | Xinping Cao | Acupuncturist | 323 E Middle Country Rd Ste 3, Smithtown, NY 11787-2822 | 2019-06-10 |
| 1083104160 | Christopher King | Acupuncturist | 363 Route 111 Ste Ll8, Smithtown, NY 11787-4767 | 2018-05-15 |
| 1578098059 | Ece Algur | Acupuncturist | 12 Hemlock Ln, Smithtown, NY 11787-3740 | 2017-04-21 |
| 1164974713 | The Wellness Nook | Acupuncturist | 116 Terry Rd, Suite 200, Smithtown, NY 11787-3896 | 2016-10-31 |
| 1609270909 | Wolf Moon Inc | Acupuncturist | 875 W Jericho Tpke, Smithtown, NY 11787-3229 | 2014-10-15 |
| 1124345459 | Michelle Lieberman | Acupuncturist | 14 Franciscan Ln, Smithtown, NY 11787-1060 | 2010-04-26 |
| 1568644300 | Jennifer Muilenburg | Acupuncturist | 19 Grassy Pond Dr, Smithtown, NY 11787-4027 | 2007-12-04 |
| 1619191145 | Marian V Callahan | Acupuncturist | 777 Meadow Rd, Smithtown, NY 11787-1621 | 2007-04-13 |
| 1538706684 | Lori Ottaviano | Acupuncturist | 72 Croft Ln, Smithtown, NY 11787-4112 | 2019-12-09 |
| Find all providers in SMITHTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.