Individual provider Active NPI

Ali Podnebesnykh, L. AC.

  • Acupuncturist
  • Aberdeen, NJ
National Provider Identifier
1245775824
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00122300 Issued in NJ
Practice address
557 S Atlantic Ave
Aberdeen, NJ 07747-2258
Phone
(732) 997-4988
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25MZ00122300NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Spirit of the Point , LLC Acupuncturist CurrentSince Mar 24, 2025 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.

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.

Verify at the official NPI Registry.