Individual provider Active NPI

Marija Joksimovic, MS LAC

  • Acupuncturist
  • Nanuet, NY
National Provider Identifier
1972053775
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005775 Issued in NY
Practice address
78 S Middletown Rd
Nanuet, NY 10954-2961
Phone
(845) 642-4349
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005775 NY Primary

Addresses

Primary practice location

78 S Middletown Rd
Nanuet, NY 10954-2961

Mailing address

18 Division Ave
Nyack, NY 10960-4406
Phone (845) 642-4349

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Joksimo Co Inc. Acupuncturist CurrentSince Jun 1, 2020 Accepting new patients

Locations

78 S Middletown Rd
Nanuet, NY 10954
Phone (201) 575-6710

150 S Broadway
Nyack, NY 10960
Phone (845) 358-2687

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1972053775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DIVISION AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604406",
            "telephone_number": "845-642-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542961",
            "telephone_number": "845-642-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOKSIMOVIC",
        "first_name": "MARIJA",
        "credential": "MS LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.