Active NPI
Pearl D. Lawson, DAOM
- Acupuncturist
- Brooklyn, NY
National Provider Identifier
1063169274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 007072-01
- Practice address
- 105 Grand St
Brooklyn, NY 11249-4123 - Phone
- (914) 246-2633
- NPI assigned
- Mar 8, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | KO000666 | PA | |
| Acupuncturist | 171100000X | 1040 | WI | |
| Acupuncturist | 171100000X | 007072-01 | NY | Primary |
Addresses
Primary practice location
105 Grand St
Brooklyn, NY 11249-4123
Mailing address
119 Pondfield Rd Unit 911
Bronxville, NY 10708-7642
Phone (914) 246-2633
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dr.pearllawson@sagestoneblue.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007072-01 | NY | MD | Mental Health Counselor |
| KO000666 | PA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sagestone | Acupuncturist | Current | Accepting new patients |
Locations
119 Pondfield Rd
Unit 911
Bronxville, NY 10708
105 Grand St
Brooklyn, NY 11249
Phone (347) 746-1560
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
- Brooklyn, NY
- NPI 1053068106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1063169274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 PONDFIELD RD UNIT 911",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107087642",
"telephone_number": "914-246-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 GRAND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112494123",
"telephone_number": "914-246-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "PEARL",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "DAOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "KO000666",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "1040",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "007072-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dr.pearllawson@sagestoneblue.com",
"affiliation": "N",
"endpointDescription": "records",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "105 Grand St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112494123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.