Mariusz Mikulec, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

001497-02 Issued in NY

Practice address

10240 67TH Dr Apt 3B
Forest Hills, NY 11375-2816

Phone

(917) 509-1583

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jib Medical P.C.

  • General Practice Physician
  • Flushing, NY
  • NPI 1215334321
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1407540651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 67TH DR APT 3B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752816",
            "telephone_number": "917-509-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 67TH DR APT 3B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752816",
            "telephone_number": "917-509-1583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15811 Harry Van Arsdale Jr Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113653085",
            "country_code": "US",
            "telephone_number": "718-591-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKULEC",
        "first_name": "MARIUSZ",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001497-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Mierov, SPECIAL EDUCATOR
• Sonia Mikell, SPECIAL EDUCATOR
• Gina Mikhaylov
• Adrienn Miklos, LCSW
• Ivan Mikolaenko, M.D.
• Jermaine Miles
• Rhonda Milisis, M.S., ED.
• Cynthia Millan
• Miller Place Chiropractic PC
• Grace Mary Miller, FNP

• Acupuncturist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.