Active NPI
Irene Schwartzberg
- Massage Therapist
- Smithtown, NY
National Provider Identifier
1063736312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 018719
- Practice address
- 42 E Main St
Smithtown, NY 11787-2804 - Phone
- (631) 406-6611
- NPI assigned
- Mar 16, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 018719 | NY | Primary |
Addresses
Primary practice location
42 E Main St
Smithtown, NY 11787-2804
Mailing address
42 E Main St
Smithtown, NY 11787-2804
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 |
|---|---|---|---|
| 018719 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demar13 LLC | Massage Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1063736312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 E MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872804",
"telephone_number": "631-406-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZBERG",
"first_name": "IRENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-16",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "018719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.