Active NPI
Bette Jayne Trojanowski
- Massage Therapist
- Riverhead, NY
National Provider Identifier
1053927137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 012016-1
- Practice address
- 1394 Roanoke Ave Ste a
Riverhead, NY 11901-2100 - Phone
- (631) 257-7968
- NPI assigned
- Sep 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 105367 | NY | |
| Massage Therapist | 225700000X | 012016-1 | NY | Primary |
Addresses
Primary practice location
1394 Roanoke Ave Ste a
Riverhead, NY 11901-2100
Mailing address
PO Box 356
Jamesport, NY 11947-0356
Phone (631) 566-6430
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 |
|---|---|---|---|
| 105367 | NY | MD | Social Worker |
| 012016-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua D Hendrickson LCSW PLLC | Current | 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.
-
- Clinical Social Worker
- Riverhead, NY
- NPI 1659916278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1053927137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 356",
"city": "JAMESPORT",
"state": "NY",
"postal_code": "119470356",
"telephone_number": "631-566-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1394 ROANOKE AVE STE A",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012100",
"telephone_number": "631-257-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROJANOWSKI",
"first_name": "BETTE",
"middle_name": "JAYNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "105367",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "012016-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.