Active NPI
Nikolay Popov
- Acupuncturist
- Brooklyn, NY
National Provider Identifier
1730512609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- NONE OF ONE
- Practice address
- 2879 W 12TH St Apt 9Q
Brooklyn, NY 11224-3026 - Phone
- (843) 457-2795
- NPI assigned
- Aug 14, 2013
- Last updated
- Aug 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | NONE OF ONE | OH | Primary |
Addresses
Primary practice location
2879 W 12TH St Apt 9Q
Brooklyn, NY 11224-3026
Mailing address
2879 W 12TH St Apt 9Q
Brooklyn, NY 11224-3026
Phone (843) 457-2795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A205-897-896 | Other | NY | POLITICAL ASYLIM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NONE OF ONE | OH | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1730512609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2879 W 12TH ST APT 9Q",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112243026",
"telephone_number": "843-457-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2879 W 12TH ST APT 9Q",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112243026",
"telephone_number": "843-457-2795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOV",
"first_name": "NIKOLAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OH",
"license": "NONE OF ONE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POLITICAL ASYLIM",
"identifier": "A205-897-896",
"state": "NY"
}
],
"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 Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.