Organization Active NPI

Cedar Massage Therapy PC

  • Massage Therapist
  • Stony Brook, NY
National Provider Identifier
1891667911
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CEDAR MASSAGE THERAPY PC
Practice address
2460 Nesconset Hwy
Stony Brook, NY 11790-3501
Phone
(631) 886-9888
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Juan Lin
Title
Owner
Phone
(631) 703-1192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2460 Nesconset Hwy
Stony Brook, NY 11790-3501

Mailing address

2460 Nesconset Hwy
Stony Brook, NY 11790-3501

National Provider Directory

National Provider Directory

Locations

2460 Nesconset Hwy
Stony Brook, NY 11790
Phone (631) 885-9777

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1891667911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 NESCONSET HWY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 NESCONSET HWY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903501",
            "telephone_number": "631-886-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR MASSAGE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-703-1192"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.