Active NPI
Ali Podnebesnykh, L. AC.
- Acupuncturist
- Aberdeen, NJ
National Provider Identifier
1245775824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00122300
- Practice address
- 557 S Atlantic Ave
Aberdeen, NJ 07747-2258 - Phone
- (732) 997-4988
- NPI assigned
- Jan 5, 2017
- Last updated
- Jan 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00122300 | NJ | Primary |
Addresses
Primary practice location
557 S Atlantic Ave
Aberdeen, NJ 07747-2258
Mailing address
557 S Atlantic Ave
Aberdeen, NJ 07747-2258
Phone (732) 997-4988
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00122300 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit of the Point , LLC | Acupuncturist | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Spirit of the Point Acupuncture
- Acupuncturist
- Englishtown, NJ
- NPI 1811778418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1245775824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 S ATLANTIC AVE",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "077472258",
"telephone_number": "732-997-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 S ATLANTIC AVE",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "077472258",
"telephone_number": "732-997-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODNEBESNYKH",
"first_name": "ALI",
"credential": "L. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-05",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00122300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.