Individual provider Active NPI

Ildar Gadol, L.AC.,O.M.D

  • Acupuncturist
  • New York, NY
National Provider Identifier
1619411303
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001280 Issued in NY
Practice address
321 W 24TH St Ofc
New York, NY 10011-1503
Phone
(212) 645-6447
Fax
(646) 693-2253
NPI assigned
Dec 14, 2016
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 001280 NY Primary

Addresses

Primary practice location

321 W 24TH St Ofc
New York, NY 10011-1503

Mailing address

321 W 24TH St Ofc
New York, NY 10011-1503
Phone (212) 645-6447

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

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1619411303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W 24TH ST OFC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111503",
            "telephone_number": "212-645-6447",
            "fax_number": "646-693-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W 24TH ST OFC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111503",
            "telephone_number": "212-645-6447",
            "fax_number": "646-693-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADOL",
        "first_name": "ILDAR",
        "credential": "L.AC.,O.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001280",
            "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 Dec 14, 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.

Verify at the official NPI Registry.