Denise Defazio, RN, LMT, CDT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

015779-1 Issued in NY

Practice address

4 Springville Rd.
Hampton Bays, NY 11946-1170

Phone

(631) 682-9908

NPI assigned

Feb 2, 2019

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549065600000",
    "number": "1467917583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CAMBRIDGE DR",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023610",
            "telephone_number": "631-682-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SPRINGVILLE RD.",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119461170",
            "telephone_number": "631-682-9908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Fire Island Ave.",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117021170",
            "country_code": "US",
            "telephone_number": "631-682-9908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFAZIO",
        "first_name": "DENISE",
        "credential": "RN, LMT, CDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "015779-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Cusumano, MD
• Hema Dalal, MD
• Daniel Ahoubim MD PC
• Diane Daniels, D.AC, LMT
• Migdalia De Jesus, LPN
• Toni Defelice
• Charles Joseph Defraia, D.O.
• Frank Joseph Demaria, D.P.M.
• Rochelle Lee Diamond, RPH
• Ginger Dittenhofer

• Massage Therapist in Hampton Bays, NY
• Providers in Hampton Bays, 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 Feb 2, 2019; 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.