Active NPI
Cameron Richards, LMT
- Massage Therapist
- Jamaica, NY
National Provider Identifier
1255665089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27-023147
- Practice address
- 16027 121St Ave
Jamaica, NY 11434-2408 - Phone
- (718) 249-6100
- Fax
- (888) 205-2971
- NPI assigned
- Sep 25, 2009
- 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 | 27-023147 | NY | Primary |
Addresses
Primary practice location
16027 121St Ave
Jamaica, NY 11434-2408
Mailing address
11064 Queens Blvd
#505
Forest Hills, NY 11375-6347
Phone (718) 249-6100
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 |
|---|---|---|---|
| 27-023147 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1255665089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11064 QUEENS BLVD",
"address_2": "#505",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756347",
"telephone_number": "718-249-6100",
"fax_number": "888-205-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16027 121ST AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114342408",
"telephone_number": "718-249-6100",
"fax_number": "888-205-2971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "CAMERON",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "27-023147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.