Blue Iris Acupuncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BLUE IRIS ACUPUNCTURE PC

Practice address

139 Fulton St RM 136
New York, NY 10038-2538

Phone

(212) 349-9500

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Irina Prikolota, LACNPI 1720832355

Title

Lac

Phone

(212) 349-9500

Specialties & licenses 1

Addresses

Practitioners 1

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

• Irina Prikolota

  • Acupuncturist
  • New York, NY
  • NPI 1720832355
  NPD Authorized official

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1457189300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FULTON ST RM 136",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382538",
            "telephone_number": "212-349-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON ST RM 136",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382538",
            "telephone_number": "212-349-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE IRIS ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "PRIKOLOTA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "LAC",
        "authorized_official_telephone_number": "212-349-9500",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.