Sharayah Misiewicz, LAC, DIPL. OM

Key facts

NPI

1689255267

Entity type

Individual (NPI type 1)

Primary specialty

Acupuncturist 171100000X

License

006773-01 (NY)

Practice address

235 Griggs Rd
Springfield Center, NY 13468-2109

Phone

(607) 267-2560

NPI assigned

Apr 15, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2021.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1689255267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GRIGGS RD",
            "city": "SPRINGFIELD CENTER",
            "state": "NY",
            "postal_code": "134682109",
            "telephone_number": "607-267-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 GRIGGS RD",
            "city": "SPRINGFIELD CENTER",
            "state": "NY",
            "postal_code": "134682109",
            "telephone_number": "607-267-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2739 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801517",
            "country_code": "US",
            "telephone_number": "607-267-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISIEWICZ",
        "first_name": "SHARAYAH",
        "credential": "LAC, DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006773-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Center, NY

• Susan Maldonado, LPN
• Debra-Ann W. Miller, LCSW

All providers in Springfield Center, NY · Acupuncturist in New York