Healthcare Provider Details

I. General information

NPI: 1932019502
Provider Name (Legal Business Name): JONAH POMERANTZ MS, LCAT, MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 BROADWAY RM 1085
NEW YORK NY
10010-3450
US

IV. Provider business mailing address

580 SAINT NICHOLAS AVE APT 2C
NEW YORK NY
10030-1916
US

V. Phone/Fax

Practice location:
  • Phone: 917-612-6989
  • Fax:
Mailing address:
  • Phone: 917-612-6989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: