NPI Code Detail JSON Logo

1699694984 NPI number — LONG ISLAND NP. IN FAMILY HEALTH AND MASSAGE THERAPY PLLC

NPI Number: 1699694984
Health Care Provider/Practitioner: LONG ISLAND NP. IN FAMILY HEALTH AND MASSAGE THERAPY PLLC

Information about “1699694984” NPI (LONG ISLAND NP. IN FAMILY HEALTH AND MASSAGE THERAPY PLLC) exists in 1699694984 in HTML format HTML  |  1699694984 in plain Text format TXT  |  1699694984 in PDF (Portable Document Format) PDF  |  1699694984 in an XML format XML  formats.

NPI Number : 1699694984 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699694984",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LONG ISLAND NP. IN FAMILY HEALTH AND MASSAGE THERAPY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "33 TOWER HILL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARMINGVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11738-1912",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-766-6831",
    "MailingAddressFaxNumber": "631-306-4405",
    "FirstLinePracticeLocationAddress": "33 TOWER HILL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FARMINGVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11738-1912",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-766-6831",
    "PracticeLocationAddressFaxNumber": "631-306-4405",
    "EnumerationDate": "07/13/2026",
    "LastUpdateDate": "07/13/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRUNNER",
    "AuthorizedOfficialFirstName": "MICHELE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CO-OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP",
    "AuthorizedOfficialTelephoneNumber": "631-766-6831",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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