Organization Active NPI

Ancient & Modern Acupuncture P.C.

  • Health Maintenance Organization
  • Brooklyn, NY
National Provider Identifier
1710375738
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
002065 Issued in NY
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

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Mr. Yevgeniy Voloshchuk, LACNPI 1508131103
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)CodeLicenseStatePrimary
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 PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "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.

Verify at the official NPI Registry.