Active NPI
Mary Gagliardi, L.AC.
- Acupuncturist
- New York, NY
National Provider Identifier
1992367957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006538-1
- Practice address
- 19 W 21St St RM 904
New York, NY 10010-6851 - Phone
- (917) 370-7503
- NPI assigned
- Jun 30, 2019
- 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 | 006538-1 | NY | Primary |
Addresses
Primary practice location
19 W 21St St RM 904
New York, NY 10010-6851
Mailing address
39 Wilson Ave Apt 2F
Brooklyn, NY 11237-2488
Phone (917) 370-7503
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 |
|---|---|---|---|
| 006538-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philadelphia Mind-Body Acupuncture, LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Philadelphia, PA
- NPI 1629669767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561852800000",
"number": "1992367957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 WILSON AVE APT 2F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112372488",
"telephone_number": "917-370-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 21ST ST RM 904",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106851",
"telephone_number": "917-370-7503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIARDI",
"first_name": "MARY",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-30",
"last_updated": "2019-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006538-1",
"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 Jun 30, 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.