Active NPI
Wioletta Brodowska-Legiec, L.AC.
- Acupuncturist
- Clark, NJ
National Provider Identifier
1578906384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004818-1
- Practice address
- 807 Riverbend Dr
Clark, NJ 07066-1912 - Phone
- (347) 415-5948
- NPI assigned
- Apr 10, 2013
- 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 | 004818-1 | NY | Primary |
Addresses
Primary practice location
807 Riverbend Dr
Clark, NJ 07066-1912
Mailing address
807 Riverbend Dr
Clark, NJ 07066-1912
Phone (347) 415-5948
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 |
|---|---|---|---|
| 004818-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1578906384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 RIVERBEND DR",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661912",
"telephone_number": "347-415-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 RIVERBEND DR",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661912",
"telephone_number": "347-415-5948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODOWSKA-LEGIEC",
"first_name": "WIOLETTA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-10",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004818-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.