Organization Active NPI

Healing Mocean Massage

  • Massage Therapist
  • Port Jefferson, NY
National Provider Identifier
1932852928
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HEALING MOCEAN MASSAGE
Practice address
903 Main St Ste 104
Port Jefferson, NY 11777-2262
Phone
(631) 704-4865
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Monique ZoddaNPI 1184375636
Title
LMT
Phone
(631) 704-4865

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

903 Main St Ste 104
Port Jefferson, NY 11777-2262

Mailing address

903 Main St Ste 104
Port Jefferson, NY 11777-2262
Phone (631) 704-4865

National Provider Directory

National Provider Directory

Locations

903 Main St
Ste 104
Port Jefferson, NY 11777
Phone (631) 704-4865

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1932852928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 MAIN ST STE 104",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772262",
            "telephone_number": "631-704-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MAIN ST STE 104",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772262",
            "telephone_number": "631-704-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MOCEAN MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ZODDA",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "631-704-4865"
    },
    "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 Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.