Active NPI
Robert James Sperduto
- Massage Therapist
- Hauppauge, NY
National Provider Identifier
1922821354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 013944
- Practice address
- 1363 Veterans Hwy Ste 33
Hauppauge, NY 11788-3046 - Phone
- (631) 738-0208
- NPI assigned
- Nov 4, 2024
- Last updated
- Nov 4, 2024
- Sex
- Male
- 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 | 013944 | NY | Primary |
Addresses
Primary practice location
1363 Veterans Hwy Ste 33
Hauppauge, NY 11788-3046
Mailing address
1363 Veterans Hwy Ste 33
Hauppauge, NY 11788-3046
Phone (631) 738-0208
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": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1922821354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1363 VETERANS HWY STE 33",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883046",
"telephone_number": "631-738-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 VETERANS HWY STE 33",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883046",
"telephone_number": "631-738-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERDUTO",
"first_name": "ROBERT",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "013944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.