Individual provider Active NPI

Seth Bunze, LMT

  • Massage Therapist
  • East Northport, NY
National Provider Identifier
1477947067
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
017892 Issued in NY
Practice address
4 Hewitt SQ
East Northport, NY 11731-2519
Phone
(516) 982-4989
Fax
(631) 580-1278
NPI assigned
Mar 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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 017892 NY Primary

Addresses

Primary practice location

4 Hewitt SQ
East Northport, NY 11731-2519

Mailing address

38 Cherry St
Ronkonkoma, NY 11779-4352
Phone (631) 745-0088

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1477947067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CHERRY ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794352",
            "telephone_number": "631-745-0088",
            "fax_number": "631-580-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HEWITT SQ",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312519",
            "telephone_number": "516-982-4989",
            "fax_number": "631-580-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNZE",
        "first_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "017892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.