NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mountainside Diversified

Massage Therapist in Staten Island, NY · enumerated 2021 · authorized official Heather Miller, Partner/Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689251712

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Mountainside Diversified
Practice address 1324 Forest Ave, Staten Island, NY, 10302
Phone (877) 480-8038
Enumeration date Mar 25, 2021
Last updated in NPPES Mar 25, 2021

Taxonomy & classification

225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Heather Miller
Title Partner/Manager
Phone (877) 480-8038

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mountainside Diversified?
Mountainside Diversified is registered in NPPES as a Massage Therapist (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-25.