Active NPI
Oleg Fabrikant, L. AC.
- Acupuncturist
- New York, NY
National Provider Identifier
1104944685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 001973
- Practice address
- 19 W 21St St
Suite 904
New York, NY 10010-6805 - Phone
- (212) 229-1220
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- 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 | 001973 | NY | Primary |
Addresses
Primary practice location
19 W 21St St
Suite 904
New York, NY 10010-6805
Mailing address
30 West St.
Apt. 17B
New York, NY 10004
Phone (212) 513-0670
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 |
|---|---|---|---|
| 001973 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104944685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WEST ST.",
"address_2": "APT. 17B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10004",
"telephone_number": "212-513-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 21ST ST",
"address_2": "SUITE 904",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106805",
"telephone_number": "212-229-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABRIKANT",
"first_name": "OLEG",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "001973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.