Active NPI
Emanuel Gomez
- Massage Therapist
- New York, NY
National Provider Identifier
1568136901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032493-01
- Practice address
- 1 W 34TH St
New York, NY 10001-3011 - Phone
- (212) 600-4808
- NPI assigned
- Aug 8, 2021
- 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 | 032493-01 | NY | Primary |
Addresses
Primary practice location
1 W 34TH St
New York, NY 10001-3011
Mailing address
434 E 115TH St Apt 5D
New York, NY 10029-1732
Phone (646) 465-2468
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://us03.vagaro.com/merchants/customers | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 032493-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628380800000",
"number": "1568136901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 E 115TH ST APT 5D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100291732",
"telephone_number": "646-465-2468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W 34TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013011",
"telephone_number": "212-600-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "EMANUEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-08",
"last_updated": "2021-08-08",
"certification_date": "2021-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032493-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://us03.vagaro.com/merchants/customers",
"affiliation": "N",
"endpointDescription": "vagaro database",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 W 34th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100013011",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.