Lorraine Karen Moog

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

006728 Issued in NY

Practice address

1363 Veterans Hwy Ste 33
Hauppauge, NY 11788-3046

Phone

(631) 882-2517

NPI assigned

Oct 11, 2024

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

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": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1407676711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEEPDALE DR",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 VETERANS HWY STE 33",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883046",
            "telephone_number": "631-882-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOG",
        "first_name": "LORRAINE",
        "middle_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "006728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Molinari, MSN, FNP, ONC
• Montefiore Medical Center
• Irene Marie Monteleone
• Michelle Montijo, RN
• Wilson Montoya, MSW
• Victoria Morello
• James Morgan, NP
• Pamela Morris, L.M.T.
• Penny Kimberly Morris, MA, CCC-SLP
• Robert A Morris, LMSW

• Massage Therapist in Hauppauge, NY
• Providers in Hauppauge, 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 11, 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.