Individual provider Active NPI

Natalia Y Medero, LAC

  • Acupuncturist
  • Bronx, NY
National Provider Identifier
1487438008
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007285-01 Issued in NY
Practice address
2510 Westchester Ave
Bronx, NY 10461-3585
Phone
(718) 684-3050
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 007285-01 NY Primary

Addresses

Primary practice location

2510 Westchester Ave
Bronx, NY 10461-3585

Mailing address

27 Lyman Rd
Waterbury, CT 06704-1627
Phone (860) 790-9715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27 Lyman Rd
Waterbury, CT 06704-1627

4747 Howard St
Apt 401
Skokie, IL 60076-3788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007285-01NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Body Healing LLC Acupuncturist Current Accepting new patients
Herba Acupuncture, LLP Acupuncturist Past Accepting new patients

Locations

674 Prospect Ave
#303
Hartford, CT 06105
Phone (860) 999-6099

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1487438008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LYMAN RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041627",
            "telephone_number": "860-790-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613585",
            "telephone_number": "718-684-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDERO",
        "first_name": "NATALIA",
        "middle_name": "Y",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007285-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.