Individual provider Active NPI

Michael Kabram, ACUPUNCTURIST

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1104340959
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006031 Issued in NY
Practice address
639 Union St
Brooklyn, NY 11215-1059
Phone
(917) 647-6120
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006031 NY Primary

Addresses

Primary practice location

639 Union St
Brooklyn, NY 11215-1059

Mailing address

1145 Dean St Apt 4
Brooklyn, NY 11216-5604
Phone (917) 647-6120

Other practice location 1

1145 Dean St Apt 4
Brooklyn, NY 11216-5604
Phone (917) 647-6120

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104340959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 DEAN ST APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165604",
            "telephone_number": "917-647-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151059",
            "telephone_number": "917-647-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Dean St Apt 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112165604",
            "country_code": "US",
            "telephone_number": "917-647-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABRAM",
        "first_name": "MICHAEL",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.