Organization Active NPI

Modern Art Acupuncture P.C.

  • Acupuncturist
  • Bethpage, NY
National Provider Identifier
1679982938
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004024 Issued in NY
Legal business name
MODERN ART ACUPUNCTURE P.C.
Practice address
176 Hicksville Rd
Bethpage, NY 11714-3459
Phone
(516) 796-0319
Fax
(516) 796-0849
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Anna Mikhaylenko
Title
President
Phone
(347) 452-7158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 004024 NY Primary

Addresses

Primary practice location

176 Hicksville Rd
Bethpage, NY 11714-3459

Mailing address

1075 Sheepshead Bay Rd Apt 6a
Brooklyn, NY 11229-4279
Phone (347) 452-7158

National Provider Directory

National Provider Directory

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": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1679982938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SHEEPSHEAD BAY RD APT 6A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294279",
            "telephone_number": "347-452-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143459",
            "telephone_number": "516-796-0319",
            "fax_number": "516-796-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ART ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "MIKHAYLENKO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-452-7158"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.