Steven Edward Meddaugh Jr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27029801 Issued in NY

Practice address

8 Laurel Dr
Port Jefferson, NY 11777-1904

Phone

(631) 681-5626

NPI assigned

May 21, 2021

Last updated

Dec 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C Jay's Management Corporation

  • Multi-Specialty Clinic/Center
  • Wading River, NY
  • NPI 1952124869
  NPD Authorized official
• Workplace Wellness Inc

  • Massage Therapist
  • Port Jefferson, NY
  • NPI 1316801632
  NPD Authorized official
• Fingers From Heaven Inc

  • Acupuncturist
  • Miller Place, NY
  • NPI 1801489240

  Massage Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1184299208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAUREL DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771904",
            "telephone_number": "631-681-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAUREL DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771904",
            "telephone_number": "631-681-5626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 NY-25A",
            "address_purpose": "LOCATION",
            "city": "Miller Place",
            "state": "NY",
            "postal_code": "11764",
            "country_code": "US",
            "telephone_number": "631-680-9458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Davis Ln",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117901809",
            "country_code": "US",
            "telephone_number": "631-413-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDDAUGH",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "27029801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna McKay, LCSW
• Theresa Ann McKenna, PHD
• Danielle McKenzie
• Christine Julia McKeon, PMHNP
• Kelsey Lynn McNally, MHC
• Rana Mekawy, DO
• Stefanie Elizabeth Melling, RN
• Justina Catherine Mellone, DO
• Charles Mellor, PA
• Jared Amir Mendoune

• Massage Therapist in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.