Individual provider Active NPI

Boris Benjamin Bernadsky, L.M.T. L.AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1952708836
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25 005638 Issued in NY
Practice address
40 Exchange PL
3Rd Floor
New York, NY 10005-2701
Phone
(732) 331-0925
NPI assigned
Nov 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 27 027747 NY
Acupuncturist 171100000X 25 005638 NY Primary

Addresses

Primary practice location

40 Exchange PL
3Rd Floor
New York, NY 10005-2701

Mailing address

1368 Bay Ridge Ave
Apt 3
Brooklyn, NY 11219-6116
Phone (732) 331-0925

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

LicenseStateTypeSpecialty
25 005638NYMDAcupuncturist
27 027747NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1952708836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 BAY RIDGE AVE",
            "address_2": "APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112196116",
            "telephone_number": "732-331-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EXCHANGE PL",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052701",
            "telephone_number": "732-331-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNADSKY",
        "first_name": "BORIS",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "L.M.T. L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "27 027747",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 005638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.