Maureen Wondsel, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1152230 Issued in NY

Practice address

1757 Merrick Ave Ste 100
North Merrick, NY 11566-2717

Phone

(516) 623-4388

Fax

(516) 623-1948

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1699347740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE STE 100",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-623-4388",
            "fax_number": "516-623-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE STE 100",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-623-4388",
            "fax_number": "516-623-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDSEL",
        "first_name": "MAUREEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "1152230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO FAULT CARRIERS",
            "identifier": "1152230",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "telephone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "telephone",
            "address_1": "1757 Merrick Ave Ste 100",
            "city": "North Merrick",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115662717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Callie Viverito, MSOM L. AC.
• Elaine Patricia Walsh, RN
• Jennifer Noelle Watts
• Ruth Weissman, SLP
• Winthrop Faculty Medical Affiliates University Faculty Practice Corpor

• Massage Therapist in North Merrick, NY
• Providers in North Merrick, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.