Susy Mendoza, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

024660-1 Issued in NY

Practice address

202 W Park Ave
Suite 201
Long Beach, NY 11561-3212

Phone

(718) 757-6384

NPI assigned

Oct 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susy Mendoza Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1306274071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DARTMOUTH ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813214",
            "telephone_number": "718-757-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W PARK AVE",
            "address_2": "SUITE 201",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613212",
            "telephone_number": "718-757-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SUSY",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "024660-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSY",
            "last_name": "MENDOZA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Medical Careworks, P.C.
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• Karen Melton, D.O.
• Felice Menchel, MS, PT
• Yelizaveta Menshikova, OTRL
• Michele Meo, LCSW
• Melissa Merman
• Marion Sue Meyers, PSYD
• Margie Michalowitz, DDS

• Massage Therapist in Long Beach, NY
• Providers in Long Beach, 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 Oct 16, 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.

Verify at the official NPI Registry.