Organization Active NPI

Bonavera Acupuncture P.C.

  • Acupuncturist
  • Saint Albans, NY
National Provider Identifier
1598912586
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
002068 Issued in NY
Legal business name
BONAVERA ACUPUNCTURE P.C.
Practice address
20520 Linden Blvd
Saint Albans, NY 11412-2926
Phone
(718) 712-3305
NPI assigned
Aug 21, 2008
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Alla NoginskyNPI 1952559700
Title
Owner
Phone
(347) 439-5677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 002068 NY Primary

Addresses

Primary practice location

20520 Linden Blvd
Saint Albans, NY 11412-2926

Mailing address

2524 Avenue Y
Brooklyn, NY 11235-2423

National Provider Directory

National Provider Directory

Locations

20520 Linden Blvd
Saint Albans, NY 11412
Phone (718) 712-3305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1598912586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 AVENUE Y",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20520 LINDEN BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122926",
            "telephone_number": "718-712-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVERA ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "NOGINSKY",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-439-5677"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.