NPIMap

Organization Active NPI

Bonafide Acupuncture

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1346091667
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BONAFIDE ACUPUNCTURE
Practice address
9508 Avenue L
Brooklyn, NY 11236-4811
Phone
(929) 992-6241
Fax
(718) 833-3664
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Siraj VenjaraNPI 1578088571
Title
Acupuncthiest
Phone
(702) 907-7171

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

9508 Avenue L
Brooklyn, NY 11236-4811

Mailing address

9508 Avenue L
Brooklyn, NY 11236-4811
Phone (929) 992-6241

Other names 1

  • Bonafide Acupuncture Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1346091667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364811",
            "telephone_number": "929-992-6241",
            "fax_number": "718-833-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364811",
            "telephone_number": "929-992-6241",
            "fax_number": "718-833-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAFIDE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "VENJARA",
        "authorized_official_first_name": "SIRAJ",
        "authorized_official_title_or_position": "ACUPUNCTHIEST",
        "authorized_official_telephone_number": "702-907-7171"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonafide Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

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