Individual provider Active NPI

Kelsey Ojima, L.AC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1720357007
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005531-1 Issued in NY
Practice address
80 Broad St
Ste 1401
New York, NY 10004-2209
Phone
(212) 943-4999
NPI assigned
Dec 15, 2011
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60248784 WA
Massage Therapist 225700000X MA60194661 WA
Acupuncturist 171100000X 005531-1 NY Primary

Addresses

Primary practice location

80 Broad St
Ste 1401
New York, NY 10004-2209

Mailing address

80 Broad St
Ste 1401
New York, NY 10004-2209
Phone (212) 943-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005531-1NYMDAcupuncturist
AC60248784WAMDAcupuncturist
MA60194661WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agk Physical Therapy and Acupuncture PLLC Acupuncturist PastSince Feb 7, 2024 Accepting new patients
New York Pain Management Services PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1720357007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BROAD ST",
            "address_2": "STE 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042209",
            "telephone_number": "212-943-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BROAD ST",
            "address_2": "STE 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042209",
            "telephone_number": "212-943-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJIMA",
        "first_name": "KELSEY",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60248784",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60194661",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005531-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.