Active NPI
David Elfawal, LMT
- Massage Therapist
- Massapequa, NY
National Provider Identifier
1609455476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 020281
- Practice address
- 5509 Merrick Rd
Massapequa, NY 11758-6215 - Phone
- (516) 541-8933
- Fax
- (516) 549-5034
- NPI assigned
- Apr 7, 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 | 020281 | NY | Primary |
Addresses
Primary practice location
5509 Merrick Rd
Massapequa, NY 11758-6215
Mailing address
5509 Merrick Rd
Massapequa, NY 11758-6215
Phone (516) 541-8933
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 |
|---|---|---|---|
| 020281 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gotham City Massage Therapy P.C. | Single Specialty | Current | Accepting new patients |
Locations
5509 Merrick Rd
Massapequa, NY 11758
Phone (516) 541-8933
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1609455476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 MERRICK RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586215",
"telephone_number": "516-541-8933",
"fax_number": "516-549-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509 MERRICK RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586215",
"telephone_number": "516-541-8933",
"fax_number": "516-549-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELFAWAL",
"first_name": "DAVID",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "020281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.