Individual provider Active NPI

Ayla Yavin, MS LAC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1821297615
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25003580 Issued in NY
Practice address
135 W 29TH St RM 1103
New York, NY 10001-5224
Phone
(917) 331-2694
Fax
(718) 852-4586
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25003580 NY Primary

Addresses

Primary practice location

135 W 29TH St RM 1103
New York, NY 10001-5224

Mailing address

135 W 29TH St RM 1103
New York, NY 10001-5224
Phone (917) 331-2694

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25003580NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1821297615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 29TH ST RM 1103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015224",
            "telephone_number": "917-331-2694",
            "fax_number": "718-852-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 29TH ST RM 1103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015224",
            "telephone_number": "917-331-2694",
            "fax_number": "718-852-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVIN",
        "first_name": "AYLA",
        "credential": "MS LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25003580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.