Active NPI
Marija Joksimovic, MS LAC
- Acupuncturist
- Nanuet, NY
National Provider Identifier
1972053775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005775
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joksimo Co Inc. | Acupuncturist | Current | 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.
-
- Acupuncturist
- Nanuet, NY
- NPI 1679198865
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.