Individual provider Active NPI

Laureal Lee Gayle, LPN

  • Licensed Practical Nurse
  • New York, NY
National Provider Identifier
1336372820
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
241895-1 Issued in NY
Practice address
620 E 13TH St
New York, NY 10009-3615
Phone
(212) 674-5280
Fax
(212) 677-6971
NPI assigned
Aug 31, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 241895-1 NY Primary

Addresses

Primary practice location

620 E 13TH St
New York, NY 10009-3615

Mailing address

914 Mother Gaston Blvd
Brooklyn, NY 11212-5708
Phone (134) 745-2002

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
241895-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of New York City Inc Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1336372820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 MOTHER GASTON BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125708",
            "telephone_number": "134-745-2002",
            "fax_number": "212-677-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093615",
            "telephone_number": "212-674-5280",
            "fax_number": "212-677-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "LAUREAL",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "241895-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.