Active NPI
Megan Kozak, RD
- Massage Therapist
- Brooklyn, NY
National Provider Identifier
1659753754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 026100-1
- Practice address
- 7201 4TH Ave Apt D9
Brooklyn, NY 11209-2512 - Phone
- (646) 467-2771
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007763-1 | NY | |
| Mechanotherapist | 172M00000X | 026100-1 | NY | |
| Massage Therapist | 225700000X | 026100-1 | NY | Primary |
Addresses
Primary practice location
7201 4TH Ave Apt D9
Brooklyn, NY 11209-2512
Mailing address
7201 4TH Ave Apt D9
Brooklyn, NY 11209-2512
Phone (646) 467-2771
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 |
|---|---|---|---|
| 007763-1 | NY | MD | Registered Dietitian |
| 026100-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1659753754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 4TH AVE APT D9",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092512",
"telephone_number": "646-467-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 4TH AVE APT D9",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112092512",
"telephone_number": "646-467-2771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZAK",
"first_name": "MEGAN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-24",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007763-1",
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NY",
"license": "026100-1",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "026100-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.