Individual provider Active NPI

Oksana Podhayetska, LAC

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1831732528
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005597 Issued in NY
Practice address
2379 Ralph Ave
Brooklyn, NY 11234-5516
Phone
(718) 501-7337
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005597 NY Primary

Addresses

Primary practice location

2379 Ralph Ave
Brooklyn, NY 11234-5516

Mailing address

1959 E 17TH St Apt 3
Brooklyn, NY 11229-3463
Phone (718) 501-7337

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL brooklyn

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

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1831732528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 E 17TH ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293463",
            "telephone_number": "718-501-7337",
            "fax_number": "718-339-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345516",
            "telephone_number": "718-501-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODHAYETSKA",
        "first_name": "OKSANA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brooklyn",
            "affiliation": "N",
            "address_1": "1959 E 17th St Apt 3",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112293463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 24, 2019; 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.