Individual provider Active NPI

Robin Perlberg, L.AC.

  • Acupuncturist
  • Port Washington, NY
National Provider Identifier
1790924942
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001319 Issued in NY
Practice address
14 Vanderventer Ave
Suite 145
Port Washington, NY 11050-3737
Phone
(516) 316-7821
Fax
(516) 708-9791
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 001319 NY Primary

Addresses

Primary practice location

14 Vanderventer Ave
Suite 145
Port Washington, NY 11050-3737

Mailing address

14 Vanderventer Ave
Suite 145
Port Washington, NY 11050-3737
Phone (516) 316-7832

Other identifiers 1

IdentifierTypeStateIssuer
P2640741OtherCTOXFORD HEALTH PLANS

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
001319NYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1790924942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VANDERVENTER AVE",
            "address_2": "SUITE 145",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503737",
            "telephone_number": "516-316-7832",
            "fax_number": "516-708-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VANDERVENTER AVE",
            "address_2": "SUITE 145",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503737",
            "telephone_number": "516-316-7821",
            "fax_number": "516-708-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLBERG",
        "first_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P2640741",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.