Organization Active NPI

Victoria Vovsha P.C.

Doing business as Maximum Vitality

  • Acupuncturist
  • Northport, NY
National Provider Identifier
1649798976
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005382 Issued in NY
Legal business name
VICTORIA VOVSHA P.C.
Doing business as
Maximum Vitality
Practice address
408 Fort Salonga Rd
Northport, NY 11768-3075
Phone
(516) 254-3656
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Victoria Vovsha, LACNPI 1073906921
Title
Acupuncturist
Phone
(516) 254-3656

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
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 005382 NY Primary

Addresses

Primary practice location

408 Fort Salonga Rd
Northport, NY 11768-3075

Mailing address

408 Fort Salonga Rd
Northport, NY 11768-3075
Phone (516) 254-3656

Other names 1

  • Maximum Vitality Doing business as

National Provider Directory

National Provider Directory

Locations

408 Fort Salonga Rd
Northport, NY 11768
Phone (516) 254-3656

389 Fort Salonga Rd
Ste 3
Northport, NY 11768
Phone (631) 201-2474

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1649798976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683075",
            "telephone_number": "516-254-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683075",
            "telephone_number": "516-254-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA VOVSHA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "VOVSHA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "516-254-3656",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maximum Vitality",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.