Active NPI
Ancient & Modern Acupuncture P.C.
- Health Maintenance Organization
- Brooklyn, NY
National Provider Identifier
1710375738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 002065
- Legal business name
- ANCIENT & MODERN ACUPUNCTURE P.C.
- Practice address
- 1534 Broadway
Brooklyn, NY 11221-4249 - Phone
- (718) 576-6266
- Fax
- (718) 576-6269
- NPI assigned
- Dec 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yevgeniy Voloshchuk, LAC
- Title
- Acupuncturist
- Phone
- (917) 658-0152
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 002065 | NY | Primary |
Addresses
Primary practice location
1534 Broadway
Brooklyn, NY 11221-4249
Mailing address
2800 Coyle St
Apt.321
Brooklyn, NY 11235-1747
Phone (917) 658-0152
National Provider Directory
National Provider Directory- Tax ID family
- Ancient Modern Acupuncture PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Maintenance Organization
- Staten Island, NY
- NPI 1730582032
-
- Health Maintenance Organization
- Perth Amboy, NJ
- NPI 1356744783
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Perth Amboy, NJ
- NPI 1508131103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419811200000",
"number": "1710375738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 COYLE ST",
"address_2": "APT.321",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351747",
"telephone_number": "917-658-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112214249",
"telephone_number": "718-576-6266",
"fax_number": "718-576-6269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCIENT & MODERN ACUPUNCTURE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-29",
"last_updated": "2014-12-29",
"status": "A",
"authorized_official_last_name": "VOLOSHCHUK",
"authorized_official_first_name": "YEVGENIY",
"authorized_official_title_or_position": "ACUPUNCTURIST",
"authorized_official_telephone_number": "917-658-0152",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NY",
"license": "002065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.