Organization Active NPI

Grae Enterprises LLC

  • Massage Therapist
  • New York, NY
National Provider Identifier
1619635323
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
GRAE ENTERPRISES LLC
Practice address
89 5TH Ave Ste 808
New York, NY 10003-3020
Phone
(347) 728-2440
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Mr. Timothy Grae
Title
Massage Therapist
Phone
(347) 728-2440

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary ManagerGroup: 193200000X MULTI-SPECIALTY GROUP 132700000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

89 5TH Ave Ste 808
New York, NY 10003-3020

Mailing address

89 5TH Ave Ste 808
New York, NY 10003-3020

National Provider Directory

National Provider Directory

Locations

89 5th Ave
Ste 808
New York, NY 10003
Phone (347) 728-2440

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1619635323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 5TH AVE STE 808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 5TH AVE STE 808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033020",
            "telephone_number": "347-728-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "GRAE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "347-728-2440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.