Active NPI
Supriya Desai Lay, L.AC.
- Acupuncturist
- Brooklyn, NY
National Provider Identifier
1477957207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005899-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2014001031 | MO | MD | Acupuncturist |
| 005899-1 | NY | MD | Speech-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.