Suzanne Clegg

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

000240 Issued in NY

Practice address

85 Walnut St
Lynbrook, NY 11563-2139

Phone

(516) 823-2511

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Suzanne Clegg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spirit Gate Acupuncture PC

  • Acupuncturist
  • Lynbrook, NY
  • NPI 1598131963

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1508232950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WALNUT ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632139",
            "telephone_number": "516-823-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WALNUT ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632139",
            "telephone_number": "516-823-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEGG",
        "first_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "573445",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "CLEGG",
            "credential": "R.D., L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robin Chimerine, D.D.S.
• Michelle Choy
• Kevin Christopher, MHC-LP
• Frank Cimato Jr., DDS
• City Medical of Upper East Side, PLLC (CityMD Urgent Care)
• Keith Alexander Clement, NP-C
• Ruth Cobbs, LPN
• Deborah Gale Cohen, CCC-SLP
• Emma Cohen
• Gary Steven Cohen, DDS

• Acupuncturist in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.