Active NPI
Stephanie Virasawmi, M.A, ATR-BC,LCAT
- Medical Art Specialist/Technologist
- Bronx, NY
National Provider Identifier
1114430642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Art Specialist/Technologist
- License
- 002036
- Practice address
- 4419 3Rd Ave
Bronx, NY 10457-2562 - Phone
- (718) 364-7700
- Fax
- (718) 364-1513
- NPI assigned
- Nov 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Art Specialist/Technologist | 246ZA2600X | 002036 | NY | Primary |
Addresses
Primary practice location
4419 3Rd Ave
Bronx, NY 10457-2562
Mailing address
34 Fig St
Central Islip, NY 11722-4002
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002036 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1114430642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 FIG ST",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117224002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4419 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104572562",
"telephone_number": "718-364-7700",
"fax_number": "718-364-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRASAWMI",
"first_name": "STEPHANIE",
"credential": "M.A, ATR-BC,LCAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZA2600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Art, Medical",
"state": "NY",
"license": "002036",
"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 Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.