Active NPI
Bishara Wilson, MSTOM, L.AC.
- Acupuncturist
- Brooklyn, NY
National Provider Identifier
1952597114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002441
- Practice address
- 493 Quincy St
Brooklyn, NY 11221-1505 - Phone
- (347) 200-0594
- NPI assigned
- Sep 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 002441 | NY | Primary |
Addresses
Primary practice location
493 Quincy St
Brooklyn, NY 11221-1505
Mailing address
493 Quincy St
Brooklyn, NY 11221-1505
Phone (347) 200-0594
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1952597114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 QUINCY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112211505",
"telephone_number": "347-200-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 QUINCY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112211505",
"telephone_number": "347-200-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BISHARA",
"credential": "MSTOM, L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-21",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002441",
"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 Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.