Organization Active NPI

Caban Massage Therapy

  • Massage Therapist
  • Merrick, NY
National Provider Identifier
1548677891
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
026405 Issued in NY
Legal business name
CABAN MASSAGE THERAPY
Practice address
1819 Merrick Ave
Merrick, NY 11566-2718
Phone
(347) 255-1815
Fax
(516) 379-4632
NPI assigned
Jul 18, 2014
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Mr. Eddie Caban, LMT
Title
President
Phone
(347) 255-1815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 026405 NY Primary

Addresses

Primary practice location

1819 Merrick Ave
Merrick, NY 11566-2718

Mailing address

1819 Merrick Ave
Merrick, NY 11566-2718
Phone (347) 255-1815

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1548677891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662718",
            "telephone_number": "347-255-1815",
            "fax_number": "516-379-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662718",
            "telephone_number": "347-255-1815",
            "fax_number": "516-379-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABAN MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-255-1815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.