Vladislav Korostyshevskiy, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

001526 Issued in NY

Practice address

2678 Ocean Ave Apt 2E
Brooklyn, NY 11229-4684

Phone

(718) 513-3736

NPI assigned

Nov 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1285278234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2678 OCEAN AVE APT 2E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294684",
            "telephone_number": "718-513-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2678 OCEAN AVE APT 2E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294684",
            "telephone_number": "718-513-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROSTYSHEVSKIY",
        "first_name": "VLADISLAV",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1122334455",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "2678 Ocean Ave Apt 2E",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112294684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Koroleva
• Hannah Miata Koroma-Bernard
• Camille Koroma, RN
• Korongeno Medical, P.C.
• Victor Koros, PHARMD
• Nelly Korotun
• Violeta Korra, BCBA
• Michelle Lauren Korson
• Mariana Korsunsky, MS. ED
• Mary Lee Kortes, LMSW

• Acupuncturist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.