Lucinda Lin-Degtyarev, LAC, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006484-1 Issued in NY

Practice address

928 Broadway Ste 600
New York, NY 10010-8137

Phone

(212) 547-9477

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1871055327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 FRANKEL BLVD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108137",
            "telephone_number": "212-547-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015405",
            "country_code": "US",
            "telephone_number": "212-547-9477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN-DEGTYAREV",
        "first_name": "LUCINDA",
        "credential": "LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030977-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006484-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Michael Limson, M.D.
• Melissa Grace Lin de la Rosa Ortega
• William Lin Gao, FNP-C
• Patricia Lin Kwan
• Christopher Lin-Brande, MD
• Jiayi Karen Lin-Imada, PSYD
• Albert Y Lin, M.D.
• Alison Lin, OTR/L
• Amy Lin, MS,RD,CDN
• Amy Lin, PA-C

• Acupuncturist in New York, NY
• Providers in New York, 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 3, 2019; 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.