NPIMap

Organization Active NPI

North Shore Therapeutic Massage P.C.

  • Massage Therapist
  • East Setauket, NY
National Provider Identifier
1306297080
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
024147 Issued in NY
Legal business name
NORTH SHORE THERAPEUTIC MASSAGE P.C.
Practice address
1386 Route 25a
East Setauket, NY 11733-2842
Phone
(631) 751-2374
NPI assigned
Jun 24, 2016
Last updated
Jun 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Authorized official

Name
Jason M FerroNPI 1659727956
Title
Owner
Phone
(631) 664-4157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 024147 NY Primary

Addresses

Primary practice location

1386 Route 25a
East Setauket, NY 11733-2842

Mailing address

1386 Route 25a
East Setauket, NY 11733-2842

National Provider Directory

National Provider Directory

Locations

1386 Route 25A
Setauket, NY 11733
Phone (631) 751-2374

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1306297080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 ROUTE 25A",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 ROUTE 25A",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332842",
            "telephone_number": "631-751-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE THERAPEUTIC MASSAGE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "FERRO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-664-4157"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "024147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.