Scott Michael Gralla, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004220 Issued in NY

Practice address

2 Cornfield LN
Commack, NY 11725-2702

Phone

(516) 987-1926

NPI assigned

Jan 6, 2010

Sex

Male

Sole proprietor

Yes

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

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.

• Scott Gralla Acupuncture LLC

  • Acupuncturist
  • Greenlawn, NY
  • NPI 1528951415
  NPD Authorized official

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1770813180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORNFIELD LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252702",
            "telephone_number": "516-987-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORNFIELD LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252702",
            "telephone_number": "516-987-1926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 N Park Ave",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115704113",
            "country_code": "US",
            "telephone_number": "516-987-1926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRALLA",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Lee Gordon, CPHT
• Steven Gordon, LCSWR
• Julie Beth Gorowitz, LAC.
• Richard W Gotlib, MD
• Shannon M Graepel, MHC-LP
• Tania C Gransasso
• Cecile Marie Grapotte, M.A., TSSLD
• Michael Thomas Grassa
• Allison Graver, LMHC-D
• James A Green, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.