Debra Jean Goguen

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

013998 Issued in NY

Practice address

527 Townline Rd Ste 200
Hauppauge, NY 11788-2833

Phone

(631) 943-1243

NPI assigned

Jan 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elevate Massage & Bodyworks Corp

  • Massage Therapist
  • Hauppauge, NY
  • NPI 1649091216
  NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1043926595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BAYVIEW DR S",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117692239",
            "telephone_number": "631-312-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 TOWNLINE RD STE 200",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882833",
            "telephone_number": "631-943-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Carleton Ave",
            "address_purpose": "LOCATION",
            "city": "East Islip",
            "state": "NY",
            "postal_code": "117301222",
            "country_code": "US",
            "telephone_number": "631-859-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGUEN",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "013998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Gibbons
• Brian Andrew Gilman, DDS
• Morton Ginsberg, R.PH
• Tracey E Glander, MA
• Nancy Godek, OTR/L
• Baiju Chiman Gohil, M.D.
• Dharampalsinh Gohil, DO
• Melissa Golden
• Daniel A Goldfarb, PH.D.
• Keri Goldman

• Massage Therapist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.