Organization Active NPI

Myomoov Inc

  • Massage Therapist
  • Long Beach, NY
National Provider Identifier
1699531590
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MYOMOOV INC
Practice address
350 National Blvd Ste 2D
Long Beach, NY 11561-3327
Phone
(516) 200-1213
NPI assigned
Feb 27, 2024
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Mauricio Patino, LMTNPI 1619582178
Title
President
Phone
(516) 761-5317

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 NU Primary

Addresses

Primary practice location

350 National Blvd Ste 2D
Long Beach, NY 11561-3327

Mailing address

350 National Blvd Ste 2D
Long Beach, NY 11561-3327
Phone (516) 200-1213

National Provider Directory

National Provider Directory

Locations

350 National Blvd
Ste 2D
Long Beach, NY 11561
Phone (516) 200-1213

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1699531590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NATIONAL BLVD STE 2D",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613327",
            "telephone_number": "516-200-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NATIONAL BLVD STE 2D",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613327",
            "telephone_number": "516-200-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOMOOV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-761-5317",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.