Individual provider Active NPI

Inna Razumovscaia

  • Massage Therapist
  • Brooklyn, NY
National Provider Identifier
1457966897
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
028652 Issued in NY
Practice address
176 Meserole Ave Apt 1F
Brooklyn, NY 11222-2457
Phone
(845) 659-5965
NPI assigned
Sep 12, 2020
Last updated
Sep 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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 028652 NY Primary

Addresses

Primary practice location

176 Meserole Ave Apt 1F
Brooklyn, NY 11222-2457

Mailing address

176 Meserole Ave Apt 1F
Brooklyn, NY 11222-2457
Phone (845) 659-5965

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
028652NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1457966897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MESEROLE AVE APT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222457",
            "telephone_number": "845-659-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MESEROLE AVE APT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222457",
            "telephone_number": "845-659-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZUMOVSCAIA",
        "first_name": "INNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "028652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 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.