Active NPI
Jeffrey Dreon
- Massage Therapist
- Whitestone, NY
National Provider Identifier
1003420191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 024603-01
- Practice address
- 1036 Utopia Pkwy
Whitestone, NY 11357-2838 - Phone
- (516) 492-4523
- NPI assigned
- Sep 4, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 024603-01 | NY | Primary |
Addresses
Primary practice location
1036 Utopia Pkwy
Whitestone, NY 11357-2838
Mailing address
1036 Utopia Pkwy
Whitestone, NY 11357-2838
Phone (516) 492-4523
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 |
|---|---|---|---|
| 024603-01 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1003420191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 UTOPIA PKWY",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113572838",
"telephone_number": "516-492-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 UTOPIA PKWY",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113572838",
"telephone_number": "516-492-4523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREON",
"first_name": "JEFFREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-04",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "024603-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.