Gary Greenleaf, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

OM000309 Issued in PA

Practice address

101 Bridge St
Catasauqua, PA 18032-2506

Phone

(610) 264-2755

NPI assigned

Mar 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Lehigh Valley Oriental Medicine Centre, LLC

  • Acupuncturist
  • Catasauqua, PA
  • NPI 1598010498
  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1619625878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OAKS DR APT 210",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRIDGE ST",
            "city": "CATASAUQUA",
            "state": "PA",
            "postal_code": "180322506",
            "telephone_number": "610-264-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEAF",
        "first_name": "GARY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4235",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Dolcimascolo, M.A.
• Lori Erschen, DO
• Georgia Varvarelis Fliakos, D.O.
• Frank Gerlach Jr., LSW
• Megan Lynn Graver, PHARM D
• Carina Gurgick
• Genesis Gurrea, ATC
• Thomas R Gyory, D.M.D.
• David Harakal, O.D.
• Autumn Rose Hartranft

• Acupuncturist in Catasauqua, PA
• Providers in Catasauqua, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.