Wellness Plaza Acupuncture P.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

002967 Issued in NY

Legal business name

WELLNESS PLAZA ACUPUNCTURE P.C

Practice address

1021 Avenue Z
Brooklyn, NY 11235-5105

Phone

(718) 769-7191

NPI assigned

Feb 14, 2013

Organization subpart

No

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

Authorized official

Name

Peter Kopach, LAC

Title

President

Phone

(718) 769-7191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1942549753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355105",
            "telephone_number": "718-769-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PLAZA ACUPUNCTURE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "KOPACH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-769-7191",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Counseling Services, LCSW, PLLC
• Wellness Diagnostic Imaging PC
• Wellness NP in Community Health P.C.
• Wellness Pharmacy Inc
• Wellness Physical Therapy & Rehabilitation Services PLLC
• Wellness Plus Pharmacy Inc
• Wellness Rehabilitation PT PC
• Wellness Ridge PT PC
• Wellness Senior Adult Day Care Center Inc
• Wellness Way PT, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.