POINT OF LIFE ACUPUNCTURE, P.C.
NPI 1780017079
Clinic/Center in Port Jefferson Station, NY

Active since August 09, 2013
166 BERGEN ST, PORT JEFFERSON STATION, NY 11776(631) 525-2161 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About POINT OF LIFE ACUPUNCTURE, P.C.

This page provides the complete NPI Profile along with additional information for Point Of Life Acupuncture, P.c., a provider established in Port Jefferson Station, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1780017079 assigned on August 2013. The practitioner's primary taxonomy code is 261Q00000X with license number 0035731 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Ryder J. Champouillon Msom, L.ac (Owner)

NPI
1780017079 Verify this NPI
Provider Name
POINT OF LIFE ACUPUNCTURE, P.C.
Entity Type
Organization
Location Address
166 BERGEN ST PORT JEFFERSON STATION, NY 11776
Location Phone
(631) 525-2161
Mailing Address
166 BERGEN ST PORT JEFFERSON STATION, NY 11776
Mailing Phone
(631) 525-2161
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2013
Last Update Date
08-09-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
0035731
License State
NY
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RYDER J. CHAMPOUILLON MSOM, L.AC

Authorized Official Title
OWNER
Authorized Official Phone
(631) 525-2161

Reviews for POINT OF LIFE ACUPUNCTURE, P.C.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Acupuncturist
166 BERGEN ST
PORT JEFFERSON STATION, NY 11776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780017079, enumerated as an "organization" on August 09, 2013.

The provider is located at 166 BERGEN ST PORT JEFFERSON STATION, NY 11776 and the phone number is (631) 525-2161.

Clinic/Center with taxonomy code 261Q00000X.