Active NPI
Martha Decembrino, RAC
- Acupuncturist
- Wyomissing, PA
National Provider Identifier
1083808711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AK000599
- Practice address
- 1235 Penn Ave
Suite 302
Wyomissing, PA 19610-2100 - Phone
- (610) 374-2927
- Fax
- (610) 374-2909
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AK000599 | PA | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | AK000599 | PA |
Addresses
Primary practice location
1235 Penn Ave
Suite 302
Wyomissing, PA 19610-2100
Mailing address
1235 Penn Ave
Suite 302
Wyomissing, PA 19610-2100
Phone (610) 374-2927
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 |
|---|---|---|---|
| AK000599 | PA | MD | Interventional Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1083808711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 PENN AVE",
"address_2": "SUITE 302",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102100",
"telephone_number": "610-374-2927",
"fax_number": "610-374-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 PENN AVE",
"address_2": "SUITE 302",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102100",
"telephone_number": "610-374-2927",
"fax_number": "610-374-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECEMBRINO",
"first_name": "MARTHA",
"credential": "RAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK000599",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "PA",
"license": "AK000599",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.