Individual provider Active NPI

Michelle Eve Nadler

  • Massage Therapist
  • Wading River, NY
National Provider Identifier
1871321224
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
031428 Issued in NY
Practice address
6278 Route 25a Ste 4
Wading River, NY 11792-2009
Phone
(631) 886-1500
Fax
(631) 886-1831
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 031428 NY Primary

Addresses

Primary practice location

6278 Route 25a Ste 4
Wading River, NY 11792-2009

Mailing address

6241 Route 25a
Wading River, NY 11792-2003
Phone (631) 886-1500

Other practice location 1

6241 route 25A
6241 route 25A suite 4
Wading River, NY 11792
Phone (631) 886-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
031428NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Fork Medical PLLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

6278 Route 25A
Ste 4
Wading River, NY 11792
Phone (631) 886-1500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1871321224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6241 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922003",
            "telephone_number": "631-886-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6278 ROUTE 25A STE 4",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922009",
            "telephone_number": "631-886-1500",
            "fax_number": "631-886-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6241 route 25A",
            "address_2": "6241 route 25A suite 4",
            "address_purpose": "LOCATION",
            "city": "Wading River",
            "state": "NY",
            "postal_code": "11792",
            "country_code": "US",
            "telephone_number": "631-886-1500",
            "fax_number": "631-886-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADLER",
        "first_name": "MICHELLE",
        "middle_name": "EVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.