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Deactivated NPI 1588874093 Deactivated / Inactive NPI Male Practitioner

Dr. Myung E Bae , DOM

Acupuncturist • Flushing, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Myung Bae has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2007
NPI Deactivation Date May 29, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Myung Bae, DOM was a registered Acupuncturist practicing in Flushing, NY. Throughout an active medical career spanning 18 years, Dr. Bae provided care at the practice location at 36-09 MAIN ST until profile deactivation on 2025-05-29.

Practice Location & Contact Primary Location

Practice Address

36-09 Main St
Suite 203

Flushing, NY 113546502

Telephone 7184610338
Fax 7183589722
Associated Practice Facility / Clinic
🏢 L & Y Medical Associate Pc Facility NPI 1164514964

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
266 Specialists

Practicing in Flushing, NY (4031 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License NY 27

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated May 29, 2025

Record deactivated on May 29, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2025

Acupuncturist (License #27 in NY)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 36-09 MAIN ST, SUITE 203, FLUSHING, NY 113546502 (Tel: 7184610338)

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Updated Business Mailing Address July 08, 2007

Registered at 36-09 MAIN ST, SUITE 203, FLUSHING, NY 113546502 (Tel: 7184610338)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MYUNG BAE, DOM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Acupuncturist (License #27 in NY)

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Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588874093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: July 08, 2007
Deactivation Date: May 29, 2025

Mailing Address

36-09 Main St, Suite 203

Flushing, NY 113546502

Phone: 7184610338

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.