Organization Active NPI

Optimum Health Acupuncture, P.C.

  • Acupuncturist
  • Bronx, NY
National Provider Identifier
1992302087
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
OPTIMUM HEALTH ACUPUNCTURE, P.C.
Practice address
1963 Grand Concourse FL 2
Bronx, NY 10453-4995
Phone
(718) 509-9424
NPI assigned
Oct 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Vadim Dolsky, LACNPI 1295824233
Title
Owner
Phone
(718) 974-3284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1963 Grand Concourse FL 2
Bronx, NY 10453-4995

Mailing address

6336 99TH St FL 1
Rego Park, NY 11374-1979
Phone (718) 509-9424

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL patricksitu@citimedny.com Citimedical I PLLC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1992302087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 99TH ST FL 1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741979",
            "telephone_number": "718-509-9424",
            "fax_number": "718-509-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 GRAND CONCOURSE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534995",
            "telephone_number": "718-509-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "DOLSKY",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-974-3284",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patricksitu@citimedny.com",
            "affiliation": "Y",
            "affiliationName": "Citimedical I PLLC",
            "address_1": "1963 Grand Concourse Fl 2",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104534995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.