Organization Active NPI

Oleg Fabrikant Acupuncture, PC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1295070548
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001973 Issued in NY
Legal business name
OLEG FABRIKANT ACUPUNCTURE, PC
Practice address
19 W 21St St
Suite 904
New York, NY 10010-6805
Phone
(212) 229-1220
Fax
(212) 229-1330
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Oleg Fabrikant, L.AC.
Title
President
Phone
(212) 229-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 001973 NY Primary

Addresses

Primary practice location

19 W 21St St
Suite 904
New York, NY 10010-6805

Mailing address

19 W 21St St
Suite 904
New York, NY 10010-6805
Phone (212) 229-1220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1295070548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 21ST ST",
            "address_2": "SUITE 904",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106805",
            "telephone_number": "212-229-1220",
            "fax_number": "212-229-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 21ST ST",
            "address_2": "SUITE 904",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106805",
            "telephone_number": "212-229-1220",
            "fax_number": "212-229-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEG FABRIKANT ACUPUNCTURE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "FABRIKANT",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-229-1220",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.