Active NPI
Marielle Ceresa, L.AC.
- Acupuncturist
- Brooklyn, NY
National Provider Identifier
1922547389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 5913
- Practice address
- 816 8TH Ave
Brooklyn, NY 11215-4192 - Phone
- (718) 415-0738
- NPI assigned
- Feb 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 5913 | NY | Primary |
Addresses
Primary practice location
816 8TH Ave
Brooklyn, NY 11215-4192
Mailing address
2 Croton Lake Rd
Croton on Hudson, NY 10520-3615
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 |
|---|---|---|---|
| 5913 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487376000000",
"number": "1922547389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CROTON LAKE RD",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "105203615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 8TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154192",
"telephone_number": "718-415-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERESA",
"first_name": "MARIELLE",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-18",
"last_updated": "2017-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "5913",
"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 Feb 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.