Organization Active NPI

Merrick Massage Therapy PC

  • Massage Therapist
  • New York, NY
National Provider Identifier
1699301168
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MERRICK MASSAGE THERAPY PC
Practice address
150 Broadway RM 1115
New York, NY 10038-4375
Phone
(212) 962-2262
Fax
(646) 607-4412
NPI assigned
Mar 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Leviton, LMT
Title
Owner
Phone
(212) 962-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

150 Broadway RM 1115
New York, NY 10038-4375

Mailing address

150 Broadway RM 1115
New York, NY 10038-4375
Phone (212) 962-2262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@nycspinecare.com Direct

National Provider Directory

National Provider Directory

Locations

150 Broadway
Rm 1115
New York, NY 10038
Phone (212) 962-2262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1699301168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADWAY RM 1115",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384375",
            "telephone_number": "212-962-2262",
            "fax_number": "646-607-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADWAY RM 1115",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384375",
            "telephone_number": "212-962-2262",
            "fax_number": "646-607-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK MASSAGE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "LEVITON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-962-2262",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nycspinecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 Broadway Rm 1115",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100384375",
            "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 Mar 17, 2020; 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.