NPIMap

Organization Active NPI

Ancient & Modern Acupuncture P.C.

  • Health Maintenance Organization
  • Perth Amboy, NJ
National Provider Identifier
1356744783
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
25MZ00087900 Issued in NJ
Legal business name
ANCIENT & MODERN ACUPUNCTURE P.C.
Practice address
75 Smith St
Perth Amboy, NJ 08861-4413
Phone
(732) 442-5542
Fax
(732) 442-5568
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Yevgeniy Voloshchuk, LAC
Title
Acupuncturist
Phone
(917) 658-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 25MZ00087900 NJ Primary

Addresses

Primary practice location

75 Smith St
Perth Amboy, NJ 08861-4413

Mailing address

75 Smith St
Perth Amboy, NJ 08861-4413
Phone (732) 442-5542

National Provider Directory

National Provider Directory
Tax ID family
Ancient Modern Acupuncture PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1356744783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614413",
            "telephone_number": "732-442-5542",
            "fax_number": "732-442-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614413",
            "telephone_number": "732-442-5542",
            "fax_number": "732-442-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCIENT & MODERN ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "VOLOSHCHUK",
        "authorized_official_first_name": "YEVGENIY",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "917-658-0152",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "25MZ00087900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.