Individual provider Active NPI

Tracey Anne Decosta Byer, L.AC.

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1841577467
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25 004720 Issued in NY
Practice address
141 Stuyvesant Ave
Brooklyn, NY 11221-1946
Phone
(917) 562-5282
NPI assigned
Nov 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25 004720 NY Primary

Addresses

Primary practice location

141 Stuyvesant Ave
Brooklyn, NY 11221-1946

Mailing address

141 Stuyvesant Ave
Brooklyn, NY 11221-1946
Phone (917) 562-5282

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
25 004720NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1841577467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 STUYVESANT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211946",
            "telephone_number": "917-562-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 STUYVESANT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211946",
            "telephone_number": "917-562-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTA BYER",
        "first_name": "TRACEY",
        "middle_name": "ANNE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 004720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.