NPIMap

Organization Active NPI

Branch of Life Acupuncturepllc

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1184911513
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004462 Issued in NY
Legal business name
BRANCH OF LIFE ACUPUNCTUREPLLC
Practice address
2621 Brown Street
#1
Brooklyn, NY 11235-1669
Phone
(646) 552-2249
Fax
(718) 421-9073
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Mrs. Lyudmila Krupnova, LICENSED ACNPI 1497204374
Title
Sole MBR
Phone
(646) 552-2249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 004462 NY Primary

Addresses

Primary practice location

2621 Brown Street
#1
Brooklyn, NY 11235-1669

Mailing address

2621 Brown St
#1
Brooklyn, NY 11235-1669
Phone (646) 552-2249

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1184911513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 BROWN ST",
            "address_2": "#1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351669",
            "telephone_number": "646-552-2249",
            "fax_number": "718-421-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 BROWN STREET",
            "address_2": "#1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351669",
            "telephone_number": "646-552-2249",
            "fax_number": "718-421-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH OF LIFE ACUPUNCTUREPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "KRUPNOVA",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "646-552-2249",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004462",
            "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 6, 2011; 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.