Individual provider Active NPI

Daniel Passanese, L.M.T.

  • Specialist
  • Niagara Falls, NY
National Provider Identifier
1124204466
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
008279 Issued in NY
Practice address
10158 Niagara Falls Blvd
Suite #2
Niagara Falls, NY 14304-2793
Phone
(716) 297-3300
Fax
(716) 297-3300
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 008279 NY Primary

Addresses

Primary practice location

10158 Niagara Falls Blvd
Suite #2
Niagara Falls, NY 14304-2793

Mailing address

10158 Niagara Falls Blvd
Suite #2
Niagara Falls, NY 14304-2793
Phone (716) 297-3300

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

LicenseStateTypeSpecialty
008279NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1124204466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10158 NIAGARA FALLS BLVD",
            "address_2": "SUITE #2",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042793",
            "telephone_number": "716-297-3300",
            "fax_number": "716-297-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10158 NIAGARA FALLS BLVD",
            "address_2": "SUITE #2",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042793",
            "telephone_number": "716-297-3300",
            "fax_number": "716-297-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSANESE",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "008279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.