Jacqueline Sara Abisror, MS LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006735-01 Issued in NY

Practice address

928 Broadway Ste 508
New York, NY 10010-6008

Phone

(856) 366-7364

NPI assigned

Sep 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1912512740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SPRING ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123754",
            "telephone_number": "856-366-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 508",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106008",
            "telephone_number": "856-366-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABISROR",
        "first_name": "JACQUELINE",
        "middle_name": "SARA",
        "credential": "MS LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006735-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Ayodele Abiona, MD
• Benjamin Abiri, MD
• Dina Abiri, MD
• Michael M Abiri, M.D.
• Josyann Abisaab, MD
• Joana Marie Abitan
• Lionel Yaacov Abitbol, D.D.S
• Racquel Coballes Abitona, PT
• Brian J. Abittan, M.D.
• Nathaniel Abittan, MD

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.