Active NPI
Justin J Jaskula, L.M.T.
- Massage Therapist
- Oswego, NY
National Provider Identifier
1083888549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27 019904
- Practice address
- 55 E Bridge St
Oswego, NY 13126-2120 - Phone
- (315) 342-6300
- NPI assigned
- Apr 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 27 019904 | NY | Primary |
Addresses
Primary practice location
55 E Bridge St
Oswego, NY 13126-2120
Mailing address
242 E 2ND St
Oswego, NY 13126-3105
Phone (315) 529-5229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 019904 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony V. Licatese , DC, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Oswego, NY
- NPI 1740476712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1083888549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 E 2ND ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131263105",
"telephone_number": "315-529-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E BRIDGE ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262120",
"telephone_number": "315-342-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASKULA",
"first_name": "JUSTIN",
"middle_name": "J",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "27 019904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.