Matthew Moderno, LMT
NPI 1104563063 · Massage Therapist · Baldwin, NY
Matthew Moderno, LMT is a Massage Therapist provider in Baldwin, NY (NPI 1104563063).
Provider details
- NPI number
- 1104563063
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 028230 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2022-05-12
- Certified
- 2022-04-29
Frequently asked questions
- What is Matthew Moderno's NPI number?
- Matthew Moderno's National Provider Identifier (NPI) is 1104563063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Moderno's specialty?
- Matthew Moderno is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Matthew Moderno located?
- Matthew Moderno's practice location on file with NPPES is 2789 Milburn Ave, Baldwin, NY 11510-4119.
- What is Matthew Moderno's phone number?
- The practice phone number listed in the NPPES registry for Matthew Moderno is (516) 457-7371.
- Is Matthew Moderno's NPI active?
- Yes — Matthew Moderno's NPI (1104563063) is active in the NPPES registry as of the last update on 2022-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.