Active NPI
Shobha Manaktala, L.AC.
- Acupuncturist
- Bronx, NY
National Provider Identifier
1013205616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1219
- Practice address
- 525 W 238TH St Apt 3a
Bronx, NY 10463-1819 - Phone
- (347) 731-9013
- NPI assigned
- Jul 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1219 | NY | Primary |
Addresses
Primary practice location
525 W 238TH St Apt 3a
Bronx, NY 10463-1819
Mailing address
525 W 238TH St Apt 3a
Bronx, NY 10463-1819
Phone (347) 731-9013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1219 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310774400000",
"number": "1013205616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 W 238TH ST APT 3A",
"city": "BRONX",
"state": "NY",
"postal_code": "104631819",
"telephone_number": "347-731-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W 238TH ST APT 3A",
"city": "BRONX",
"state": "NY",
"postal_code": "104631819",
"telephone_number": "347-731-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANAKTALA",
"first_name": "SHOBHA",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-16",
"last_updated": "2011-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "1219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.