Active NPI
Lance Isakov, M.AC. L.AC.,
- Acupuncturist
- Wayne, PA
National Provider Identifier
1457682551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- KO000531
- Practice address
- 124 Bloomingdale Ave
2ND Floor
Wayne, PA 19087-3929 - Phone
- (610) 203-3747
- NPI assigned
- Jan 29, 2010
- Last updated
- Jan 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | KO000531 | PA | Primary |
Addresses
Primary practice location
124 Bloomingdale Ave
2ND Floor
Wayne, PA 19087-3929
Mailing address
124 Bloomingdale Avenue
2ND Floor
Wayne, PA 19087
Phone (610) 203-3747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KO000531 | PA | MD | Acupuncturist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1457682551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 BLOOMINGDALE AVENUE",
"address_2": "2ND FLOOR",
"city": "WAYNE",
"state": "PA",
"postal_code": "19087",
"telephone_number": "610-203-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 BLOOMINGDALE AVE",
"address_2": "2ND FLOOR",
"city": "WAYNE",
"state": "PA",
"postal_code": "190873929",
"telephone_number": "610-203-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAKOV",
"first_name": "LANCE",
"credential": "M.AC. L.AC.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "KO000531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, PA
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- Inspirit Counseling, LLC
- Integrative Rehabilitation PLLC (Philadelphia Integrative Medicine)
- Integrity Eye Associates
- Isleib Center PLLC
- Andrew S. Isleib, DO
- Valentina Isleib, MFT
- Emilie Ann Izykowski, CF-SLP
- Kara Marie Jackson, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.