Ocean Spa Long Island, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

OCEAN SPA LONG ISLAND, LLC

Doing business as

Ocean Spa Beauty and Wellness

Practice address

369 Montauk Hwy
East Moriches, NY 11940-1356

Phone

(631) 909-3810

NPI assigned

Sep 8, 2023

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy A Krey, LMTNPI 1538946132

Title

Ceo/Owner

Phone

(631) 909-3810

Specialties & licenses 1

Addresses

Other names 1

• Ocean Spa Beauty and Wellness Doing business as

Locations

Practitioners 3

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.

• Stacy Ann Krey, LMT

  • Massage Therapist
  • East Moriches, NY
  • NPI 1538946132
  NPD Authorized official
• Melissa Nicole Holmes, LMT

  • Massage Therapist
  • East Moriches, NY
  • NPI 1568243814
  NPD
• Tia Marie Rose Murphy, LMT

  • Massage Therapist
  • East Moriches, NY
  • NPI 1992584932
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1982481552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 MONTAUK HWY",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401356",
            "telephone_number": "631-909-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 MONTAUK HWY",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401356",
            "telephone_number": "631-909-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN SPA LONG ISLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "KREY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "631-909-3810",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Spa Beauty and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Ann Niebuhr, PHARMD
• Tara Nielsen, OSC
• Janine Nilsson
• North Shore Hematology Oncology Associates PC
• Hugh George O'Henry, LMSW
• Amanda Osorio
• Melanie Marlene Palmaccio, COTA
• Wendy Parra Cuzco
• Megan Passarelle, PT
• Cammie Lynn Passini, LPN

• Rehabilitation Clinic/Center in East Moriches, NY
• Providers in East Moriches, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.