Active NPI
Celena Degloma, MS LMT CD CLC CCCE
- Mechanotherapist
- Brooklyn, NY
National Provider Identifier
1316256910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 021538
- Practice address
- 405 5TH Ave FL 2
Brooklyn, NY 11215-3315 - Phone
- (347) 699-8751
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Lactation Consultant (Non-RN) | 174N00000X | 43673 | NY | |
| Massage Therapist | 225700000X | 021538-01 | NY | |
| Doula | 374J00000X | |||
| Mechanotherapist | 172M00000X | 021538 | NY | Primary |
Addresses
Primary practice location
405 5TH Ave FL 2
Brooklyn, NY 11215-3315
Mailing address
405 5TH Ave FL 2
Brooklyn, NY 11215-3315
Phone (347) 699-8751
Other names 1
- Lena Degloma
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021538 | NY | MD | Psychologist |
| 43673 | NY | MD | Dentist |
| 021538-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1316256910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 5TH AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153315",
"telephone_number": "347-699-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 5TH AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153315",
"telephone_number": "347-699-8751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGLOMA",
"first_name": "CELENA",
"credential": "MS LMT CD CLC CCCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NY",
"license": "43673",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "021538-01",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NY",
"license": "021538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LENA",
"last_name": "DEGLOMA",
"credential": "MS LMT CD CLC CCCE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.