Organization Active NPI

CM Spa LLC

  • Massage Therapist
  • Merrick, NY
National Provider Identifier
1619603974
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CM SPA LLC
Practice address
1955 Merrick Rd Ste 101
Merrick, NY 11566-4615
Phone
(516) 659-1913
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Dr. Concetta Angela Mangiaracina, DDSNPI 1265661102
Title
Owner
Phone
(516) 659-1913

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1955 Merrick Rd Ste 101
Merrick, NY 11566-4615

Mailing address

1955 Merrick Rd Ste 101
Merrick, NY 11566-4615
Phone (516) 659-1913

Other identifiers 1

IdentifierTypeStateIssuer
1265661102OtherNYINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cmspamerrick@gmail.com

National Provider Directory

National Provider Directory

Locations

1955 Merrick Rd
Ste 101
Merrick, NY 11566
Phone (516) 378-0867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1619603974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MERRICK RD STE 101",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664615",
            "telephone_number": "516-659-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MERRICK RD STE 101",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664615",
            "telephone_number": "516-659-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CM SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "MANGIARACINA",
        "authorized_official_first_name": "CONCETTA",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-659-1913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265661102",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cmspamerrick@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1955 Merrick Rd Ste 101",
            "city": "Merrick",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115664615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 28, 2022; 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.