Individual provider Active NPI

Gregory William Agnew, L.AC, LMT

  • Acupuncturist
  • Oyster Bay, NY
National Provider Identifier
1619637402
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007033 Issued in NY
Practice address
63 Audrey Ave
Oyster Bay, NY 11771-1503
Phone
(516) 857-3723
Fax
(516) 674-9031
NPI assigned
Dec 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 019277 NY
Acupuncturist 171100000X 007033 NY Primary

Addresses

Primary practice location

63 Audrey Ave
Oyster Bay, NY 11771-1503

Mailing address

22 Lincoln PL
Glen Cove, NY 11542-1949
Phone (516) 857-3723

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
019277NYMDHealth Psychologist
007033NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metal Monkey Acupuncture PC Acupuncturist CurrentSince Sep 4, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1619637402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LINCOLN PL",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421949",
            "telephone_number": "516-857-3723",
            "fax_number": "516-674-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 AUDREY AVE",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117711503",
            "telephone_number": "516-857-3723",
            "fax_number": "516-674-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "L.AC, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019277",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; 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.