Simbarashe S Mudiwa, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

025395 Issued in NY

Practice address

615 W 165TH St
Apt 1B
New York, NY 10032

Phone

(913) 582-2581

NPI assigned

Sep 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1326653411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 SANDY HILL TRL",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199344229",
            "telephone_number": "914-582-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 165TH ST",
            "address_2": "APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "913-582-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDIWA",
        "first_name": "SIMBARASHE",
        "middle_name": "S",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mudgil Dermatology, P.C.
• Adarsh Vijay Mudgil, M.D.
• Ross Mudgway, MD
• Annie Mudick, LMSW
• Anusha Mudigonda
• Elisha Mudly
• Andrew Mudreac
• Seshadri Mudumbai, M.D.
• Leo Muduve, M.D.
• Leyla Muedin, RD

• Massage Therapist in New York, NY
• Providers in New York, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.