Alessandra Mazzola, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

031576 Issued in NY

Practice address

125 W Shore Rd
Huntington, NY 11743-2042

Phone

(631) 235-4943

NPI assigned

Feb 2, 2022

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surya Wellness Massage Therapy PLLC

  • Massage Therapist
  • Huntington, NY
  • NPI 1578177622
  NPD

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1750034328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MCKINLEY TER",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W SHORE RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432042",
            "telephone_number": "631-235-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "ALESSANDRA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Mavromoustakos
• Max Rudansky, MD & Jacques Winter MD, PC
• Joseph Edwin May, MD
• Virginija Mayer
• Corinne Mazzarella
• Edith Marie Seton McCaffrey, RN
• Jennifer Marie McCaffrey, OTR/L
• Robert McCallion, ANP
• Samantha Ann McClintock, LMSW
• Christine McClure, R.N.

• Massage Therapist in Huntington, NY
• Providers in Huntington, 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 Feb 2, 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.