Rose Nellie Bayron

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

025635 Issued in NY

Practice address

John F. Kennedy International Airport
Terminal 4
Queens, NY 11430-1143

Phone

(718) 751-4319

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1417622002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 METROPOLITAN AVE APT 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626288",
            "telephone_number": "917-259-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN F. KENNEDY INTERNATIONAL AIRPORT",
            "address_2": "TERMINAL 4",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "114301143",
            "telephone_number": "718-751-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYRON",
        "first_name": "ROSE",
        "middle_name": "NELLIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Queens, NY
• Providers in Queens, 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 Aug 16, 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.

Verify at the official NPI Registry.