Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144862822 Individual Practitioner Male Practitioner

Mark Doherty , LAC, LMT

Acupuncturist • Massapequa, NY

Professional Overview & Biography Verified Profile Summary

Mark Doherty, LAC, LMT is a registered healthcare professional specializing in Acupuncturist in Massapequa, NY. Practice services are available at 623 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

623 Broadway

Massapequa, NY 117585027

Telephone 5167811078
Associated Practice Facility / Clinic
🏢 Emerge Yoga & Wellness Facility NPI 1417319252

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Massapequa, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
15 Specialists

Practicing in Massapequa, 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

CMS Verified: 2022-02-17
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License NY 007088

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.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License NY 030560

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1083321665

Licensed Massage Therapist

Adama Maynard , LMT

Massage Therapist

NPI 1134855752

Licensed Massage Therapist

Alexander Rowe

Massage Therapist

NPI 1245021336
NPI 1255973939

Licensed Acupuncturist, Licensed Massage Therapist

Tabitha Ochtera , E-RYT

Rehabilitation Practitioner

NPI 1285273797

ERYT

NPI 1306485818

Licensed Massage Therapist, RYT

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated February 17, 2022

Recorded as MARK DOHERTY, LAC, LMT

NPI Profile Active October 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2019

Registered at 623 BROADWAY, MASSAPEQUA, NY 117585027 (Tel: 5167811078)

📍
Updated Business Mailing Address October 14, 2019

Registered at 623 BROADWAY, MASSAPEQUA, NY 117585027 (Tel: 5167811078)

👤
Provider Name / Credentials Updated October 14, 2019

Recorded as MARK DOHERTY, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2019

Massage Therapist (License #030560 in NY)

🟢
Initial NPI Registration & Enumeration October 14, 2019

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: 1144862822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2019
Last Update: February 17, 2022
Sole Proprietor: No

Mailing Address

623 Broadway

Massapequa, NY 117585027

Phone: 5167811078

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.