Individual provider Active NPI

Stanley Parnes

  • Massage Therapist
  • Mineola, NY
National Provider Identifier
1164029542
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
028398 Issued in NY
Practice address
49 Berkley Rd
Mineola, NY 11501-4603
Phone
(516) 510-4241
NPI assigned
Oct 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ReflexologistGroup: 193400000X SINGLE SPECIALTY GROUP 173C00000X 028398 NY
Massage Therapist 225700000X 028398 NY Primary

Addresses

Primary practice location

49 Berkley Rd
Mineola, NY 11501-4603

Mailing address

49 Berkley Rd
Mineola, NY 11501-4603
Phone (516) 510-4241

Other identifiers 1

IdentifierTypeStateIssuer
028398MedicaidNY

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
028398NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1164029542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BERKLEY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014603",
            "telephone_number": "516-510-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BERKLEY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014603",
            "telephone_number": "516-510-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNES",
        "first_name": "STANLEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Reflexologist",
            "state": "NY",
            "license": "028398",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "028398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028398",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.