Active NPI
Jodi A Falco
- Massage Therapist
- Melville, NY
National Provider Identifier
1891387924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 021809-1
- Practice address
- 1135 Walt Whitman Rd Apt 27a
Melville, NY 11747-2825 - Phone
- (516) 455-6764
- NPI assigned
- Feb 10, 2021
- 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 | 021809-1 | NY | Primary |
Addresses
Primary practice location
1135 Walt Whitman Rd Apt 27a
Melville, NY 11747-2825
Mailing address
1135 Walt Whitman Rd Apt 27a
Melville, NY 11747-2825
Phone (516) 455-6764
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 |
|---|---|---|---|
| 021809-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1891387924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 WALT WHITMAN RD APT 27A",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472825",
"telephone_number": "516-455-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 WALT WHITMAN RD APT 27A",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472825",
"telephone_number": "516-455-6764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCO",
"first_name": "JODI",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "021809-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
- Evernorth Medical Care Providers New York Professional Corporation
- Richard Donald Faber, D.D.S.
- Zackary Troy Faber, D.D.S.
- Faguna C. Patel, D.O., P.L.L.C.
- Julianne Fairbrother
- Lauren Falco
- Kimberly Ann Falkowski-Pepe
- Family Residences and Essential Enterprise, Inc.
- Family Residences and Essential Enterprise, Inc.
- Family Residences and Essential Enterprise, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.