Active NPI
Laura Jean Castelluzzo, LAC., LMT
- Acupuncturist
- Buffalo, NY
National Provider Identifier
1144630997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004602
- Practice address
- 167 Ashland Ave
Buffalo, NY 14222-1901 - Phone
- (716) 465-7408
- Fax
- (716) 931-5658
- NPI assigned
- May 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 004602 | NY | Primary |
| Massage Therapist | 225700000X | 019387 | NY |
Addresses
Primary practice location
167 Ashland Ave
Buffalo, NY 14222-1901
Mailing address
167 Ashland Ave.
Phoenix Rising
Buffalo, NY 14222
Phone (716) 465-7408
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 |
|---|---|---|---|
| 019387 | NY | MD | Psychologist |
| 004602 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1144630997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 ASHLAND AVE.",
"address_2": "PHOENIX RISING",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14222",
"telephone_number": "716-465-7408",
"fax_number": "716-931-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 ASHLAND AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221901",
"telephone_number": "716-465-7408",
"fax_number": "716-931-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLUZZO",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "LAC., LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-02",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004602",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "019387",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.