Active NPI
Breakthru Acupuncture PC
- Acupuncturist
- Fair Lawn, NJ
National Provider Identifier
1275363319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lev Vyshedsky, L. AC.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.
-
- Acupuncturist
- New York, NY
- NPI 1407092281
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.