Active NPI
Michal Domeny, L.AC, CD/N
- Adult Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1942457965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 337835
- Practice address
- 678 E 24TH St
Brooklyn, NY 11210-1132 - Phone
- (347) 693-7659
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 006241-1 | NY | |
| Acupuncturist | 171100000X | 003443-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 337835 | NY | Primary |
| Nurse Practitioner | 363L00000X | 645452-1 | NY |
Addresses
Primary practice location
678 E 24TH St
Brooklyn, NY 11210-1132
Mailing address
CMR 402 Box 1314
Apo, AE 09180-0014
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 |
|---|---|---|---|
| 006241-1 | NY | MD | Nutritionist |
| 003443-1 | NY | MD | Acupuncturist |
| 645452-1 | NY | MD | Nurse Practitioner |
| 337835 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1942457965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "CMR 402 BOX 1314",
"city": "APO",
"state": "AE",
"postal_code": "091800014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 E 24TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112101132",
"telephone_number": "347-693-7659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMENY",
"first_name": "MICHAL",
"name_prefix": "Mr.",
"credential": "L.AC, CD/N",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-20",
"last_updated": "2023-05-18",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "006241-1",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003443-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "337835",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "645452-1",
"primary": false
}
],
"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 May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.