JESSICA BUONOMO LMT
NPI 1730809583
Massage Therapist in Port Jefferson Station, NY

Q: What is Jessica Buonomo's NPI number?

The NPI number for Jessica Buonomo is 1730809583. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Q: What is Jessica Buonomo's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Buonomo was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2022

17 JEANNE AVE, PORT JEFFERSON STATION, NY 11776(516) 232-7798 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Buonomo Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BUONOMO LMT (NPI 1730809583) is an individual massage therapist in Port Jefferson Station, New York, licensed in New York (029944) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1730809583

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameJESSICA BUONOMOCredential: LMT

Location Address17 JEANNE AVEPort Jefferson Station, NY 11776-1909

Mailing Address17 Jeanne AvePort Jefferson Station, NY 11776-1909 · (516) 232-7798

Phone(516) 232-7798

Sole ProprietorYes

Enumeration DateAugust 31, 2022

NPPES CertifiedAugust 31, 2022

✔ NPI 1730809583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in NY · 029944

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

17 JEANNE AVE, Port Jefferson Station, NY 11776

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Buonomo's NPI number?

The NPI number for Jessica Buonomo is 1730809583. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Jessica Buonomo located?

Jessica Buonomo practices at 17 Jeanne Ave, Port Jefferson Station, NY 11776. The listed phone number is (516) 232-7798.

What is Jessica Buonomo's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jessica Buonomo was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.