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Ryder Champouillon, MSOM, L.AC
NPI 1265763072 · Acupuncturist · Port Jefferson Station, NY
Ryder Champouillon, MSOM, L.AC is a Acupuncturist provider in Port Jefferson Station, NY (NPI 1265763072).
Provider details
- NPI number
- 1265763072
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- MSOM, L.AC
- Sex
- Male
- Sole proprietor
- No
- License
- 003573-1 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
166 Bergen St
Port Jefferson Station, NY 11776-1910
Phone: (631) 629-5433
Street-level locationGet directions
Mailing address
166 Bergen St
Port Jefferson Station, NY 11776-1910
Registry dates
- Enumerated
- 2010-01-18
- Last updated
- 2013-08-09
Frequently asked questions
- What is Ryder Champouillon's NPI number?
- Ryder Champouillon's National Provider Identifier (NPI) is 1265763072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryder Champouillon's specialty?
- Ryder Champouillon is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Ryder Champouillon located?
- Ryder Champouillon's practice location on file with NPPES is 166 Bergen St, Port Jefferson Station, NY 11776-1910.
- What is Ryder Champouillon's phone number?
- The practice phone number listed in the NPPES registry for Ryder Champouillon is (631) 629-5433.
- Is Ryder Champouillon's NPI active?
- Yes — Ryder Champouillon's NPI (1265763072) is active in the NPPES registry as of the last update on 2013-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.