Active NPI
Shaun Michael Deluca, LMT
- Massage Therapist
- New York, NY
National Provider Identifier
1508203134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 024184-1
- Practice address
- 122 W 27TH St
Suite 11
New York, NY 10001-6227 - Phone
- (646) 302-6951
- NPI assigned
- May 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 024184-1 | NY | Primary |
Addresses
Primary practice location
122 W 27TH St
Suite 11
New York, NY 10001-6227
Mailing address
7101 4TH Ave
Apt C5
Brooklyn, NY 11209-1662
Phone (646) 302-6950
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024184-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1508203134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 4TH AVE",
"address_2": "APT C5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091662",
"telephone_number": "646-302-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W 27TH ST",
"address_2": "SUITE 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016227",
"telephone_number": "646-302-6951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCA",
"first_name": "SHAUN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "024184-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.