Organization Active NPI

Lakeside Acupuncture and Massage PC

  • Massage Therapist
  • Bayside, NY
National Provider Identifier
1992489686
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LAKESIDE ACUPUNCTURE AND MASSAGE PC
Practice address
22038 Northern Blvd
Bayside, NY 11361-3643
Phone
(718) 819-8996
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Authorized official

Name
Rebecca Jing ZhangNPI 1992438469
Title
Owner
Phone
(917) 963-5525

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

22038 Northern Blvd
Bayside, NY 11361-3643

Mailing address

13604 Cherry Ave Apt la
Flushing, NY 11355-4840
Phone (917) 963-5525

National Provider Directory

National Provider Directory

Locations

22038 Northern Blvd
Bayside, NY 11361
Phone (718) 819-8996

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": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743811200000",
    "number": "1992489686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13604 CHERRY AVE APT LA",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554840",
            "telephone_number": "917-963-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22038 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613643",
            "telephone_number": "718-819-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE ACUPUNCTURE AND MASSAGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-963-5525"
    },
    "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 Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.