Individual provider Active NPI

Irina Roytman, L. AC., DIPL. OM

  • Acupuncturist
  • Elizabeth, NJ
National Provider Identifier
1134218019
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25 MZ00038500 Issued in NJ
Practice address
426 Morris Ave
Elizabeth, NJ 07208-3609
Phone
(732) 740-7709
Fax
(732) 677-3636
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25 MZ00038500 NJ Primary
Homeopath 175L00000X

Addresses

Primary practice location

426 Morris Ave
Elizabeth, NJ 07208-3609

Mailing address

25 Kilmer Dr
Building #3, Ste.215
Morganville, NJ 07751-1564
Phone (732) 740-7709

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

LicenseStateTypeSpecialty
25 MZ00038500NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1134218019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "address_2": "BUILDING #3, STE.215",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564",
            "telephone_number": "732-740-7709",
            "fax_number": "732-677-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083609",
            "telephone_number": "732-740-7709",
            "fax_number": "732-677-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYTMAN",
        "first_name": "IRINA",
        "name_prefix": "Mrs.",
        "credential": "L. AC., DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25 MZ00038500",
            "primary": true
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.