Active NPI
Allyson K Gracie, DACM, LAC
- Acupuncturist
- New York, NY
National Provider Identifier
1871082586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 00631
- Practice address
- 928 Broadway Ste 401
New York, NY 10010-8150 - Phone
- (646) 242-5733
- NPI assigned
- May 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 00631 | NY | Primary |
Addresses
Primary practice location
928 Broadway Ste 401
New York, NY 10010-8150
Mailing address
936 West End Ave Apt G12
New York, NY 10025-3561
Phone (164) 624-2573
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00631 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1871082586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 WEST END AVE APT G12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253561",
"telephone_number": "164-624-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 BROADWAY STE 401",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100108150",
"telephone_number": "646-242-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIE",
"first_name": "ALLYSON",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DACM, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "00631",
"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 May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.