Nan Bakamjian, M.S., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

001860 Issued in NY

Practice address

20 Vanderventer Ave
Suite 102-W
Port Washington, NY 11050-3752

Phone

(516) 767-9337

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699978692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HIGHLAND AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504042",
            "telephone_number": "516-767-9337",
            "fax_number": "516-767-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VANDERVENTER AVE",
            "address_2": "SUITE 102-W",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503752",
            "telephone_number": "516-767-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKAMJIAN",
        "first_name": "NAN",
        "credential": "M.S., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001860",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA6039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smadar H Auerbach Barber, PHD
• Faith C Ausfresser
• Carl Bagnini, LCSW
• Susan M Bagnini, LCSW
• Dara Bain
• Balanced Medical PLLC
• Katharine E Ballato, PNP
• Dani Baltimore
• Naomi Barasch, LCSW
• Addison Barman, M.D.

• Acupuncturist in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.