Individual provider Active NPI

Grigoriy Gleyzer, LAC

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1184060782
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00033300 Issued in NJ
Practice address
155 Oceana Dr E Apt 4G
Brooklyn, NY 11235-6685
Phone
(646) 402-1792
NPI assigned
May 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00033300 NJ Primary
Acupuncturist 171100000X 001835 NY

Addresses

Primary practice location

155 Oceana Dr E Apt 4G
Brooklyn, NY 11235-6685

Mailing address

155 Oceana Dr E Apt 4G
Brooklyn, NY 11235-6685
Phone (646) 402-1792

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
001835NYMDBehavioral Analyst
25MZ00033300NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Acupuncture Arts, PC CurrentSince Mar 4, 2021 Accepting new patients
Acupuncture & Massage Therapy PLLC Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1184060782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 OCEANA DR E APT 4G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356685",
            "telephone_number": "646-402-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 OCEANA DR E APT 4G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356685",
            "telephone_number": "646-402-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEYZER",
        "first_name": "GRIGORIY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00033300",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 22, 2013; 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.