Individual provider Active NPI

Irina Prikolota

  • Acupuncturist
  • New York, NY
National Provider Identifier
1720832355
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007507 Issued in NY
Practice address
139 Fulton St RM 136
New York, NY 10038-2538
Phone
(121) 234-9950
NPI assigned
Apr 11, 2024
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 007507 NY Primary

Addresses

Primary practice location

139 Fulton St RM 136
New York, NY 10038-2538

Mailing address

577 Avenue Z Apt 2D
Brooklyn, NY 11223-6175
Phone (646) 515-6400

Other practice location 1

457 Broome St
New York, NY 10013-2681
Phone (646) 515-6400

Other practice location 2

2606 E 16th St
Brooklyn, NY 11235-3806
Phone (646) 515-6400

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
007507NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Iris Acupuncture PC Acupuncturist Current Accepting new patients

Locations

139 Fulton St
Rm 136
New York, NY 10038
Phone (212) 349-9500

Organizations & group practices 1

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1720832355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 AVENUE Z APT 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236175",
            "telephone_number": "646-515-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON ST RM 136",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382538",
            "telephone_number": "121-234-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 Broome St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100132681",
            "country_code": "US",
            "telephone_number": "646-515-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2606 E 16th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353806",
            "country_code": "US",
            "telephone_number": "646-515-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIKOLOTA",
        "first_name": "IRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007507",
            "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 Apr 11, 2024; 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.