Active NPI
Sandra Palermo
- Massage Therapist
- Melville, NY
National Provider Identifier
1275278533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 031393
- Practice address
- 115 Broadhollow Rd Ste 10
Melville, NY 11747-4992 - Phone
- (631) 990-4352
- NPI assigned
- May 2, 2022
- Last updated
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 031393 | NY | Primary |
Addresses
Primary practice location
115 Broadhollow Rd Ste 10
Melville, NY 11747-4992
Mailing address
317 Browns Rd
Nesconset, NY 11767-3343
Phone (631) 457-3040
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 |
|---|---|---|---|
| 031393 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1275278533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 BROWNS RD",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117673343",
"telephone_number": "631-457-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BROADHOLLOW RD STE 10",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474992",
"telephone_number": "631-990-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALERMO",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "031393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.