Individual provider Active NPI

Irina Kazanskaya

  • Acupuncturist
  • Valley Stream, NY
National Provider Identifier
1962048330
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
002628 Issued in NY
Practice address
125 N Central Ave
Valley Stream, NY 11580-3822
Phone
(516) 872-3100
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 002628 NY Primary

Addresses

Primary practice location

125 N Central Ave
Valley Stream, NY 11580-3822

Mailing address

1357 E 69TH St
Brooklyn, NY 11234-5714
Phone (646) 339-4641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Pacific Medical College, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1357 E 69TH St
Brooklyn, NY 11234-5714

2422 Knapp St
Brooklyn, NY 11235-1006
Phone (646) 339-4941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1962048330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 E 69TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345714",
            "telephone_number": "646-339-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803822",
            "telephone_number": "516-872-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZANSKAYA",
        "first_name": "IRINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.