Active NPIIndividual providerSole proprietor

Olga Ivashkov, LAC

Acupuncturist in Old Tappan, New Jersey

NPI Number1629461348
Practice location
6 Pheasant Run, Old Tappan, NJ 07675-7476
Fax
—
Last updated
March 5, 2015

Olga Ivashkov is an Acupuncturist based in Old Tappan, NJ. Olga Ivashkov practices in Old Tappan, NJ and has the professional credentials of LAC. The NPI Number for Olga Ivashkov is 1629461348 and holds a License No. 004126 (NY). The current practice location address for Olga Ivashkov is 6 Pheasant Run, Old Tappan, NJ 07675-7476 and can be reached out via phone at 201-725-1182.

Provider Profile Details

NPI Number
1629461348
Provider Name
Olga Ivashkov
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
6 Pheasant Run, Old Tappan, NJ 07675-7476
Phone Number
201-725-1182
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
March 5, 2015
Last Update Date
March 5, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Pheasant Run
Old Tappan, NJ 07675-7476
Zip
07675-7476
Phone Number
201-725-1182
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
6 Pheasant Run
Old Tappan, NJ 07675-7476
City
Old Tappan
State
NJ
Zip
07675-7476
Phone Number
201-725-1182

License Information

License Number
004126
License State
NY
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Olga Ivashkov, LAC?

The NPI number of Olga Ivashkov, LAC is 1629461348. It was assigned on March 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Olga Ivashkov, LAC?

Olga Ivashkov, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 004126.

Where does Olga Ivashkov, LAC practice?

The practice location is 6 Pheasant Run, Old Tappan, NJ 07675-7476. The office can be reached at 201-725-1182 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629461348 directly on the NPPES registry website.

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