Active NPI
Zhiyuan Louis Du
- Massage Therapist
- Bayside, NY
National Provider Identifier
1104411503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 022129
- Practice address
- 3803 Bell Blvd
Bayside, NY 11361-2058 - Phone
- (718) 279-3689
- NPI assigned
- Mar 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 022129 | NY | Primary |
Addresses
Primary practice location
3803 Bell Blvd
Bayside, NY 11361-2058
Mailing address
8040 258TH St
Glen Oaks, NY 11004-1234
Phone (646) 421-4161
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 |
|---|---|---|---|
| 022129 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1104411503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 258TH ST",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041234",
"telephone_number": "646-421-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 BELL BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612058",
"telephone_number": "718-279-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU",
"first_name": "ZHIYUAN",
"middle_name": "LOUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "022129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.