Karen Theresa Massenburg, MS

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

25315 147TH Rd
Rosedale, NY 11422-2825

Phone

(718) 527-1965

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083979504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25315 147TH RD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25315 147TH RD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222825",
            "telephone_number": "718-527-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENBURG",
        "first_name": "KAREN",
        "middle_name": "THERESA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Manzo
• Yvan Mardy, M.D.
• Liesha Tamara Markland, RN
• Nicole Martin, LMT
• Massagebywen PLLC
• Maximum Health Care Registry Inc
• Hyacinth Lorette McBean-Cicero, LPN
• Kenesha McBean, RN
• Zeneida N McDonald
• Lynette Y McFarlane

• Specialist in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.