Active NPI
Massagebywen PLLC
- Home Health Agency
- Rosedale, NY
National Provider Identifier
1003421074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MASSAGEBYWEN PLLC
- Practice address
- 24028 Memphis Ave
Rosedale, NY 11422-2017 - Phone
- (347) 463-1236
- NPI assigned
- Sep 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendell Oliver Davis
- Title
- Ceo
- Phone
- (347) 463-1236
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
24028 Memphis Ave
Rosedale, NY 11422-2017
Mailing address
24028 Memphis Ave
Rosedale, NY 11422-2017
Phone (347) 463-1236
Other names 1
- Massagebywen pllc
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Massagebywen@gmail.com | ||
| Other URL | Massagebywen@gmail.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Saint Albans, NY
- NPI 1023727138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600128000000",
"number": "1003421074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24028 MEMPHIS AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222017",
"telephone_number": "347-463-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24028 MEMPHIS AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222017",
"telephone_number": "347-463-1236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASSAGEBYWEN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "WENDELL",
"authorized_official_middle_name": "OLIVER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "347-463-1236"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Massagebywen@gmail.com",
"affiliation": "N",
"address_1": "24028 Memphis Ave",
"city": "Rosedale",
"state": "NY",
"country_code": "US",
"postal_code": "114222017",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Massagebywen@gmail.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"address_1": "24028 Memphis Ave",
"city": "Rosedale",
"state": "NY",
"country_code": "US",
"postal_code": "114222017",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Massagebywen pllc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.