Individual provider Active NPI

Jennifer Marie Mohr-Boscaino, M.S., L.AC.

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1902038805
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0038541 Issued in NY
Practice address
361 5TH Ave
Brooklyn, NY 11215-3398
Phone
(212) 228-5522
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0038541 NY Primary

Addresses

Primary practice location

361 5TH Ave
Brooklyn, NY 11215-3398

Mailing address

426 Bedford Rd
Pleasantville, NY 10570-3003
Phone (914) 579-2400

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0038541NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1902038805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 BEDFORD RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703003",
            "telephone_number": "914-579-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153398",
            "telephone_number": "212-228-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR-BOSCAINO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0038541",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 25, 2022; 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.