Active NPI
Marlene Camacho, LMT
- Massage Therapist
- New York, NY
National Provider Identifier
1710617287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 028701
- Practice address
- 1776 2ND Ave
New York, NY 10128-3604 - Phone
- (347) 357-6375
- NPI assigned
- Jun 16, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 028701 | NY | Primary |
Addresses
Primary practice location
1776 2ND Ave
New York, NY 10128-3604
Mailing address
190 York St Apt 2J
Brooklyn, NY 11201-1517
Phone (347) 357-6375
Other practice location 1
190 York St Apt 2J
Brooklyn, NY 11201-1517
Phone (347) 357-6375
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 |
|---|---|---|---|
| 028701 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1710617287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 YORK ST APT 2J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011517",
"telephone_number": "347-357-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283604",
"telephone_number": "347-357-6375"
}
],
"practiceLocations": [
{
"address_1": "190 York St Apt 2J",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112011517",
"country_code": "US",
"telephone_number": "347-357-6375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMACHO",
"first_name": "MARLENE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "028701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 16, 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.