Individual provider Active NPI

Ninette Mamczur, A.P.

  • Acupuncturist
  • Rockledge, FL
National Provider Identifier
1215063680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 1588 Issued in FL
Practice address
400 Barton Blvd
Suite 201
Rockledge, FL 32955-2710
Phone
(321) 633-1400
Fax
(321) 799-8306
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 1588 FL Primary

Addresses

Primary practice location

400 Barton Blvd
Suite 201
Rockledge, FL 32955-2710

Mailing address

400 Barton Blvd
Suite 201
Rockledge, FL 32955-2710
Phone (321) 633-1400

Other identifiers 1

IdentifierTypeStateIssuer
DOC 1057564OtherFLACUPUNCTURIST

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
AP 1588FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Life Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215063680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BARTON BLVD",
            "address_2": "SUITE 201",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552710",
            "telephone_number": "321-633-1400",
            "fax_number": "321-799-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BARTON BLVD",
            "address_2": "SUITE 201",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552710",
            "telephone_number": "321-633-1400",
            "fax_number": "321-799-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMCZUR",
        "first_name": "NINETTE",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "DOC 1057564",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • 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.