Organization Active NPI

Khanh Mendelowitz

  • Massage Therapist
  • Hanover, MA
National Provider Identifier
1083069934
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12607 Issued in MA
Legal business name
KHANH MENDELOWITZ
Practice address
648 Washington St
Hanover, MA 02339-2386
Phone
(781) 826-4600
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Mrs. Khanh Mendelowitz
Title
Owner/Operator
Phone
(617) 959-4212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 12607 MA Primary

Addresses

Primary practice location

648 Washington St
Hanover, MA 02339-2386

Mailing address

648 Washington St
Hanover, MA 02339-2386
Phone (781) 826-4600

Other names 1

  • Hanover Spa Skin Health & Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

648 Washington St
Hanover, MA 02339
Phone (781) 312-0444

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1083069934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392386",
            "telephone_number": "781-826-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392386",
            "telephone_number": "781-826-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANH MENDELOWITZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "MENDELOWITZ",
        "authorized_official_first_name": "KHANH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "617-959-4212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "12607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Spa Skin Health & Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.