Devin Blaine, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006112 Issued in NY

Practice address

209 Broadway
Amityville, NY 11701-2705

Phone

(631) 691-0200

NPI assigned

Oct 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Amityville Acupuncture & Massage

  • Health Service Clinic/Center
  • Amityville, NY
  • NPI 1225350762
  NPD (past)
• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1770095226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012705",
            "telephone_number": "631-691-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012705",
            "telephone_number": "631-691-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAINE",
        "first_name": "DEVIN",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Bevilacqua
• Monique Renee Binford, N.P.
• Michelle Bivens
• BK Goyal MD PC
• Laurna Blackwood, LPN
• Robert Michael Blumm, RPA-C
• Christine Joanne Bogle-Austein, LMSW
• Lauren Bonica, MHC-LP
• Tanisha Akyra Bowen
• Kathy Sheron Brady, L.P.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.