Organization Active NPI

Breakthru Acupuncture PC

  • Acupuncturist
  • Fair Lawn, NJ
National Provider Identifier
1275363319
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BREAKTHRU ACUPUNCTURE PC
Practice address
14-25 Plaza Rd Ste S22
Fair Lawn, NJ 07410-3591
Phone
(917) 439-8577
NPI assigned
Aug 5, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Lev Vyshedsky, L. AC.NPI 1407092281
Title
President
Phone
(917) 439-8577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

14-25 Plaza Rd Ste S22
Fair Lawn, NJ 07410-3591

Mailing address

99 Hillside Ave Apt 16I
New York, NY 10040-2722
Phone (917) 439-8577

National Provider Directory

National Provider Directory

Locations

14-25 Plaza Rd
Ste S22
Fair Lawn, NJ 07410
Phone (201) 638-1586

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1275363319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVE APT 16I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402722",
            "telephone_number": "917-439-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-25 PLAZA RD STE S22",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103591",
            "telephone_number": "917-439-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHRU ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A",
        "authorized_official_last_name": "VYSHEDSKY",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-439-8577",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 Aug 5, 2024; 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.