Individual provider Active NPI

Igor Bilonozhenko

  • Acupuncturist
  • New York, NY
National Provider Identifier
1982218152
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007103 Issued in NY
Practice address
32 Union SQ E Ste 411
New York, NY 10003-3222
Phone
(332) 239-5657
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 029967 NY
Acupuncturist 171100000X 007103 NY Primary

Addresses

Primary practice location

32 Union SQ E Ste 411
New York, NY 10003-3222

Mailing address

3125 Coney Island Ave FL 2
Brooklyn, NY 11235-6468
Phone (646) 667-5946

Other practice location 1

3125 Coney Island Ave Fl 2
Brooklyn, NY 11235-6468
Phone (646) 667-5946

Other practice location 2

353 Lexington Ave Rm 1205
New York, NY 10016-0942
Phone (332) 239-5657

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
007103NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1982218152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 CONEY ISLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356468",
            "telephone_number": "646-667-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E STE 411",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033222",
            "telephone_number": "332-239-5657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Coney Island Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112356468",
            "country_code": "US",
            "telephone_number": "646-667-5946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Lexington Ave Rm 1205",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160942",
            "country_code": "US",
            "telephone_number": "332-239-5657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILONOZHENKO",
        "first_name": "IGOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029967",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007103",
            "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 Jun 1, 2022; 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.