Anna A Volkova, L.AC., PTA

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00164200 Issued in NJ

Practice address

40 Jackson St
Nutley, NJ 07110-1221

Phone

(347) 506-9061

NPI assigned

Mar 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anna A Tatarinova Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1649975590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 JACKSON ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101221",
            "telephone_number": "347-506-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 JACKSON ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101221",
            "telephone_number": "347-506-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKOVA",
        "first_name": "ANNA",
        "middle_name": "A",
        "credential": "L.AC., PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00350400",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00164200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "TATARINOVA",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caterina A Viscomi, LPC, LICENSED COACH
• Gary B Vitaletti
• Elena Vitenzon, O.D.
• Angela Vivar
• Yeltsie Volcy
• John L Volpe Jr., O.D.
• Vreeland Associates, LLC
• Evan J Waldron, MD/PHD
• Walgreen Co (Rite Aid #1618)
• Derrick I Wallace, M.D.

• Acupuncturist in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.