Active NPI
Lada Komarova, L.AC.
- Acupuncturist
- New York, NY
National Provider Identifier
1508227356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 001359
- Practice address
- 9 W 31St St Apt 20D
New York, NY 10001-4548 - Phone
- (516) 313-1637
- Fax
- (201) 496-6047
- NPI assigned
- Mar 8, 2016
- Sex
- Female
- 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 | 001359 | NY | Primary |
Addresses
Primary practice location
9 W 31St St Apt 20D
New York, NY 10001-4548
Mailing address
61 Holley Ter
Cliffside Park, NJ 07010-2806
Phone (516) 313-1637
Other practice location 1
80 5th Ave Suite 906
New York, NY 10011
Phone (516) 313-1637
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 |
|---|---|---|---|
| 001359 | NY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nana Today Inc | Acupuncturist | Current | Accepting new patients |
Locations
80 5th Ave
Rm 906
New York, NY 10011
Phone (646) 460-0097
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 and National Provider Directory roles.
-
- Acupuncturist
- New York, NY
- NPI 1790205359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1508227356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 HOLLEY TER",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070102806",
"telephone_number": "516-313-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 W 31ST ST APT 20D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014548",
"telephone_number": "516-313-1637",
"fax_number": "201-496-6047"
}
],
"practiceLocations": [
{
"address_1": "80 5th Ave Suite 906",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10011",
"country_code": "US",
"telephone_number": "516-313-1637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOMAROVA",
"first_name": "LADA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "001359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.