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MATTHEW MODERNO LMT
NPI 1104563063
Massage Therapist in Baldwin, NY

Active since May 12, 2022
2789 MILBURN AVE, BALDWIN, NY 11510(516) 457-7371 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Moderno Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW MODERNO LMT (NPI 1104563063) is an individual massage therapist in Baldwin, New York, licensed in New York (028230) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1104563063
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMATTHEW MODERNOCredential: LMT
Location Address2789 MILBURN AVEBaldwin, NY 11510-4119
Mailing AddressPo Box 22Merrick, NY 11566-0022
Phone(516) 457-7371
Sole ProprietorYes
Enumeration DateMay 12, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1104563063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 028230
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2789 MILBURN AVE, Baldwin, NY 11510
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANIE SCHERNER LMF
Massage Therapist
2789 MILBURN AVE
BALDWIN, NY 11510
Nassau County (516) 223-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Moderno's NPI number?

The NPI number for Matthew Moderno is 1104563063. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Matthew Moderno located?

Matthew Moderno practices at 2789 Milburn Ave, Baldwin, NY 11510. The listed phone number is (516) 457-7371.

What is Matthew Moderno's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Matthew Moderno was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.