Active NPI
Cecilia T Gambale
- Massage Therapist
- Brentwood, NY
National Provider Identifier
1407433188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 023340-01
- Practice address
- 36 Van Buren St
Brentwood, NY 11717-1448 - Phone
- (631) 922-3995
- NPI assigned
- Mar 27, 2021
- 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 | 023340-01 | NY | Primary |
Addresses
Primary practice location
36 Van Buren St
Brentwood, NY 11717-1448
Mailing address
36 Van Buren St
Brentwood, NY 11717-1448
Phone (631) 922-3995
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | connecturl | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616803200000",
"number": "1407433188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 VAN BUREN ST",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171448",
"telephone_number": "631-922-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 VAN BUREN ST",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171448",
"telephone_number": "631-922-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBALE",
"first_name": "CECILIA",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-27",
"last_updated": "2021-03-27",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "023340-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "connecturl",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "csv",
"address_1": "36 Van Buren St",
"city": "Brentwood",
"state": "NY",
"country_code": "US",
"postal_code": "117171448",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.