Individual provider Active NPI

Zachary Koval

  • Massage Therapist
  • New York, NY
National Provider Identifier
1871169912
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
032417-1 Issued in NY
Practice address
1 W 34TH St RM 204
New York, NY 10001-3011
Phone
(212) 600-4808
NPI assigned
May 30, 2021
Last updated
May 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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 032417-1 NY Primary

Addresses

Primary practice location

1 W 34TH St RM 204
New York, NY 10001-3011

Mailing address

526 W 146TH St Apt 3D
New York, NY 10031-5166

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://us03.vagaro.com/merchants/customers Health Information Exchange (HIE)

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
032417-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Body Mechanics LLC Massage Therapist PastSince Jun 6, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1871169912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W 146TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W 34TH ST RM 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013011",
            "telephone_number": "212-600-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "ZACHARY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032417-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://us03.vagaro.com/merchants/customers",
            "affiliation": "N",
            "endpointDescription": "Vagaro customer database",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 W 34th St Rm 204",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100013011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 30, 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.