Active NPI
Nicholas Vincent Isabella III, L.AC.
- Acupuncturist
- Tuckahoe, NY
National Provider Identifier
1497159172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 003160
- Practice address
- 62 Main St
Second Floor
Tuckahoe, NY 10707-2904 - Phone
- (347) 610-9672
- NPI assigned
- Oct 9, 2014
- 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 | 003160 | NY | Primary |
Addresses
Primary practice location
62 Main St
Second Floor
Tuckahoe, NY 10707-2904
Mailing address
2421 42ND St
Astoria, NY 11103-2803
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 |
|---|---|---|---|
| 003160 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479600000000",
"number": "1497159172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 42ND ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 MAIN ST",
"address_2": "SECOND FLOOR",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107072904",
"telephone_number": "347-610-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISABELLA",
"first_name": "NICHOLAS",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-09",
"last_updated": "2016-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuckahoe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.