Individual provider Active NPI

Virginia M Joudeh, LMT

  • Massage Therapist
  • Garden City, NY
National Provider Identifier
1437498177
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
018980-1 Issued in NY
Practice address
585 Stewart Ave Ste 408
Garden City, NY 11530-4701
Phone
(516) 222-2178
Fax
(516) 222-2180
NPI assigned
Jan 31, 2013
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 018980-1 NY Primary

Addresses

Primary practice location

585 Stewart Ave Ste 408
Garden City, NY 11530-4701

Mailing address

585 Stewart Ave Ste 408
Garden City, NY 11530-4701
Phone (516) 222-2178

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

LicenseStateTypeSpecialty
018980-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebalance Massage, PC Massage Therapist Current Accepting new patients

Locations

585 Stewart Ave
Ste 408
Garden City, NY 11530
Phone (516) 222-2178

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1437498177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 408",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304701",
            "telephone_number": "516-222-2178",
            "fax_number": "516-222-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 408",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304701",
            "telephone_number": "516-222-2178",
            "fax_number": "516-222-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUDEH",
        "first_name": "VIRGINIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018980-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.