Individual provider Active NPI

Laith Anton Naayem, L.AC.

  • Acupuncturist
  • Newburgh, NY
National Provider Identifier
1114341849
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005269 Issued in NY
Practice address
20 Deer Run Rd
Newburgh, NY 12550-8919
Phone
(618) 504-0004
NPI assigned
Feb 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005269 NY Primary

Addresses

Primary practice location

20 Deer Run Rd
Newburgh, NY 12550-8919

Mailing address

20 Deer Run Rd
Newburgh, NY 12550-8919
Phone (618) 504-0004

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
005269NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture LN PLLC Acupuncturist Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1114341849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DEER RUN RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508919",
            "telephone_number": "618-504-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DEER RUN RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508919",
            "telephone_number": "618-504-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAAYEM",
        "first_name": "LAITH",
        "middle_name": "ANTON",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.