Individual provider Active NPI

Juanpaulo Emiro Gomez Gutierrez, LMT

  • Massage Therapist
  • Fresh Meadows, NY
National Provider Identifier
1710869961
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
032494 Issued in NY
Practice address
6518 Parsons Blvd Apt 4B
Fresh Meadows, NY 11365-4566
Phone
(646) 737-6441
NPI assigned
Jul 21, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 032494 NY Primary

Addresses

Primary practice location

6518 Parsons Blvd Apt 4B
Fresh Meadows, NY 11365-4566

Mailing address

6518 Parsons Blvd Apt 4B
Fresh Meadows, NY 11365-4566
Phone (646) 737-6441

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

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1710869961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 PARSONS BLVD APT 4B",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654566",
            "telephone_number": "646-737-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 PARSONS BLVD APT 4B",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654566",
            "telephone_number": "646-737-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ GUTIERREZ",
        "first_name": "JUANPAULO",
        "middle_name": "EMIRO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.