Active NPI
Ivan Santos Garay, L.M.T.
- Mechanotherapist
- New York, NY
National Provider Identifier
1962833673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 008700
- Practice address
- 123 W 79TH St FL 4
New York, NY 10024-6480 - Phone
- (646) 765-5454
- NPI assigned
- Dec 5, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 008700 | NY | Primary |
Addresses
Primary practice location
123 W 79TH St FL 4
New York, NY 10024-6480
Mailing address
22 Engle St Apt 13
Englewood, NJ 07631-2923
Phone (201) 541-1978
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": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1962833673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ENGLE ST APT 13",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312923",
"telephone_number": "201-541-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W 79TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246480",
"telephone_number": "646-765-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARAY",
"first_name": "IVAN",
"middle_name": "SANTOS",
"name_prefix": "Mr.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-05",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NY",
"license": "008700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.