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MR. RYDER J. CHAMPOUILLON MSOM, L.AC
NPI 1265763072
Acupuncturist in Port Jefferson Station, NY

Active since January 18, 2010
166 BERGEN ST, PORT JEFFERSON STATION, NY 11776(631) 629-5433 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ryder J. Champouillon Msom, L.ac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYDER J. CHAMPOUILLON MSOM, L.AC (NPI 1265763072) is an individual acupuncturist in Port Jefferson Station, New York, licensed in New York (003573-1) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1265763072
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameMR. RYDER J. CHAMPOUILLONCredential: MSOM, L.AC
Location Address166 BERGEN STPort Jefferson Station, NY 11776-1910
Mailing Address166 Bergen StPort Jefferson Station, NY 11776-1910 · (631) 525-2161
Phone(631) 629-5433
Sole ProprietorNo
Enumeration DateJanuary 18, 2010
Last NPPES UpdateAugust 9, 2013
✔ NPI 1265763072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in NY · 003573-1
Definition
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.
166 BERGEN ST, Port Jefferson Station, NY 11776
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POINT OF LIFE ACUPUNCTURE, P.C.
Clinic/Center
166 BERGEN ST
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 525-2161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryder Champouillon's NPI number?

The NPI number for Ryder Champouillon is 1265763072. It was assigned to this individual provider in the NPPES registry on January 18, 2010.

Where is Ryder Champouillon located?

Ryder Champouillon practices at 166 Bergen St, Port Jefferson Station, NY 11776. The listed phone number is (631) 629-5433.

What is Ryder Champouillon's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Ryder Champouillon was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.