Individual provider Active NPI

Peter Scherer

  • Massage Therapist
  • Long Beach, NY
National Provider Identifier
1720702897
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
029776-01 Issued in NY
Practice address
142 E Walnut St
Long Beach, NY 11561-3518
Phone
(516) 695-3678
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 029776-01 NY Primary

Addresses

Primary practice location

142 E Walnut St
Long Beach, NY 11561-3518

Mailing address

142 E Walnut St
Long Beach, NY 11561-3518
Phone (516) 695-3678

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ekdmedconsulting.com Direct

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

LicenseStateTypeSpecialty
029776-01NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1720702897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E WALNUT ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613518",
            "telephone_number": "516-695-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E WALNUT ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613518",
            "telephone_number": "516-695-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERER",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029776-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ekdmedconsulting.com",
            "affiliation": "N",
            "endpointDescription": "work correspondence",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "PHI",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "142 E Walnut St",
            "city": "Long Beach",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115613518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.