Individual provider Active NPI

Supriya Desai Lay, L.AC.

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1477957207
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005899-1 Issued in NY
Practice address
61A 9TH Street
Suite 5
Brooklyn, NY 11215
Phone
(215) 499-1956
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2014001031 MO
Acupuncturist 171100000X 005899-1 NY Primary

Addresses

Primary practice location

61A 9TH Street
Suite 5
Brooklyn, NY 11215

Mailing address

575 10TH St Apt 2
Brooklyn, NY 11215-4401
Phone (215) 499-1956

Other practice location 1

920 Massachusetts Street
Suite 1
Lawrence, KS 66044
Phone (785) 832-1720

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
2014001031MOMDAcupuncturist
005899-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1477957207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 10TH ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154401",
            "telephone_number": "215-499-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61A 9TH STREET",
            "address_2": "SUITE 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "215-499-1956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Massachusetts Street",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "66044",
            "country_code": "US",
            "telephone_number": "785-832-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAY",
        "first_name": "SUPRIYA",
        "middle_name": "DESAI",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2014001031",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005899-1",
            "primary": true
        }
    ],
    "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 Dec 6, 2018; 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.