Individual provider Active NPI

Kwanghee Lyew, LAC.

  • Acupuncturist
  • Sleepy Hollow, NY
National Provider Identifier
1306361589
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005692 Issued in NY
Practice address
245 N Broadway Ste 206
Sleepy Hollow, NY 10591-2657
Phone
(914) 522-0536
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005692 NY Primary

Addresses

Primary practice location

245 N Broadway Ste 206
Sleepy Hollow, NY 10591-2657

Mailing address

245 N Broadway Ste 206
Sleepy Hollow, NY 10591-2657
Phone (914) 522-0536

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
005692NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306361589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N BROADWAY STE 206",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912657",
            "telephone_number": "914-522-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N BROADWAY STE 206",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912657",
            "telephone_number": "914-522-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYEW",
        "first_name": "KWANGHEE",
        "name_prefix": "Mrs.",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.