Active NPI
Shilamida Kupershteyn, L.AC, MT
- Acupuncturist
- Fair Lawn, NJ
National Provider Identifier
1215166285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004962-1
- Practice address
- 13-45 Sperber Rd
Fair Lawn, NJ 07410-7362 - Phone
- (201) 410-1756
- NPI assigned
- Jul 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Acupuncturist | 171100000X | 004962-1 | NY | Primary |
Addresses
Primary practice location
13-45 Sperber Rd
Fair Lawn, NJ 07410-7362
Mailing address
13-45 Sperber Rd
Apt D
Fair Lawn, NJ 07410-7362
Phone (201) 410-1756
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004962-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1215166285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13-45 SPERBER RD",
"address_2": "APT D",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074107362",
"telephone_number": "201-410-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13-45 SPERBER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074107362",
"telephone_number": "201-410-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPERSHTEYN",
"first_name": "SHILAMIDA",
"credential": "L.AC, MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-10",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004962-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.