Individual provider Active NPI

Agnieszka Mlynarska, LAC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1164924551
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006183-1 Issued in NY
Practice address
247 W 11TH St # 102
New York, NY 10014-2212
Phone
(917) 841-3119
NPI assigned
Mar 1, 2018
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006183-1 NY Primary
Massage Therapist 225700000X 024232-1 NY

Addresses

Primary practice location

247 W 11TH St # 102
New York, NY 10014-2212

Mailing address

304 Penn CT
Edgewater, NJ 07020-1600
Phone (917) 841-3119

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
006183-1NYMDMental Health Counselor
024232-1NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1164924551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PENN CT",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201600",
            "telephone_number": "917-841-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 W 11TH ST # 102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142212",
            "telephone_number": "917-841-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLYNARSKA",
        "first_name": "AGNIESZKA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006183-1",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "024232-1",
            "primary": false
        }
    ],
    "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 May 14, 2025; 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.