Tatiana V. Poddoubnaia, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003178 Issued in NY

Practice address

150 Broadway
Suite 1012
New York, NY 10038-4381

Phone

(212) 233-3255

Fax

(212) 233-3246

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tatiana Poddoubnaia, L.Ac.

  • Acupuncturist
  • New York, NY
  • NPI 1902739261
  NPD Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205058542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 12TH ST",
            "address_2": "B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153919",
            "telephone_number": "646-505-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADWAY",
            "address_2": "SUITE 1012",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384381",
            "telephone_number": "212-233-3255",
            "fax_number": "212-233-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODDOUBNAIA",
        "first_name": "TATIANA",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Pochtar, PH.D.
• Benjamin James Pocock, M.D
• Elizabeth Pocock
• Carly Poczik
• Susan Podbielski
• Matthew John Pode, RPA-C
• Jacqueline Podel, RD, CDE
• Jessica Podell
• Ronald Mark Podell, MD
• Samuel C Podell, MA

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• 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.

Verify at the official NPI Registry.