Individual provider Active NPI

Anya Evelyn Waller Sawyer, L.AC.

  • Acupuncturist
  • Jersey City, NJ
National Provider Identifier
1790026169
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00088400 Issued in NJ
Practice address
121-125 Newark Ave
Suite 401
Jersey City, NJ 07302-5863
Phone
(201) 500-5077
NPI assigned
Mar 11, 2013
Last updated
Mar 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00088400 NJ Primary
Acupuncturist 171100000X 25 004768 NY

Addresses

Primary practice location

121-125 Newark Ave
Suite 401
Jersey City, NJ 07302-5863

Mailing address

158 Wayne St
402A
Jersey City, NJ 07302-3440
Phone (201) 500-5077

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
25MZ00088400NJMDAcupuncturist
25 004768NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1790026169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WAYNE ST",
            "address_2": "402A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023440",
            "telephone_number": "201-500-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121-125 NEWARK AVE",
            "address_2": "SUITE 401",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025863",
            "telephone_number": "201-500-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER SAWYER",
        "first_name": "ANYA",
        "middle_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00088400",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 004768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.