Individual provider Active NPI

Sofiya Mariya Sydoryak, L.AC.

  • Acupuncturist
  • Bel Air, MD
National Provider Identifier
1508544677
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U03192 Issued in MD
Practice address
260 Gateway Dr
Bel Air, MD 21014-4268
Phone
(215) 687-3095
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X U03192 MD Primary

Addresses

Primary practice location

260 Gateway Dr
Bel Air, MD 21014-4268

Mailing address

3305 Dublin Manor Rd
Street, MD 21154-1925
Phone (215) 687-3095

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

LicenseStateTypeSpecialty
U03192MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Acupuncture LLC Acupuncturist CurrentSince Aug 3, 2025 Accepting new patients
Greenfield Acupuncture Acupuncturist PastSince Jul 16, 2023 Accepting new patients

Locations

260 Gateway Dr
Ste 910C
Bel Air, MD 21014
Phone (215) 687-3095

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1508544677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 DUBLIN MANOR RD",
            "city": "STREET",
            "state": "MD",
            "postal_code": "211541925",
            "telephone_number": "215-687-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144268",
            "telephone_number": "215-687-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYDORYAK",
        "first_name": "SOFIYA",
        "middle_name": "MARIYA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U03192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.