Active NPI
Dianne Garguilo
- Massage Therapist
- Copiague, NY
National Provider Identifier
1699494393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 57 Montauk Hwy
Copiague, NY 11726-4924 - Phone
- (631) 723-9426
- NPI assigned
- Aug 25, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NY | Primary |
Addresses
Primary practice location
57 Montauk Hwy
Copiague, NY 11726-4924
Mailing address
390 West Dr
Copiague, NY 11726-5100
Phone (631) 575-7905
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Wellness Spa & Bodyworks ,LTD. | Massage Therapist | Current | Accepting new patients |
Locations
57 Montauk Hwy
Copiague, NY 11726
Phone (631) 365-0154
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.
-
- Massage Therapist
- Copiague, NY
- NPI 1801581012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1699494393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 WEST DR",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "117265100",
"telephone_number": "631-575-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 MONTAUK HWY",
"city": "COPIAGUE",
"state": "NY",
"postal_code": "117264924",
"telephone_number": "631-723-9426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARGUILO",
"first_name": "DIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Copiague, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.