Individual provider Active NPI

Laura Lee Gayle, RN

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1225600935
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
566323-01 Issued in NY
Practice address
3640 Johnson Ave Ste PR1N
Bronx, NY 10463-1617
Phone
(914) 510-2415
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 566323-01 NY
Registered Nurse 163W00000X 566323-01 NY Primary

Addresses

Primary practice location

3640 Johnson Ave Ste PR1N
Bronx, NY 10463-1617

Mailing address

3640 Johnson Ave Ste PR1N
Bronx, NY 10463-1617
Phone (914) 510-2415

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
566323-01NYMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Biorush Inc Phlebotomy CurrentSince Jul 25, 2021 Accepting new patients

Locations

3640 Johnson Ave
Ste PR1N
Bronx, NY 10463
Phone (914) 510-2415

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1225600935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 JOHNSON AVE STE PR1N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631617",
            "telephone_number": "914-510-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 JOHNSON AVE STE PR1N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631617",
            "telephone_number": "914-510-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": "566323-01",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "566323-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.