Active NPI
Joyce A Azukas, LMT
- Massage Therapist
- Lake George, NY
National Provider Identifier
1104142850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 016273-1
- Practice address
- 2199 Stateroute 9
Lake George, NY 12845-6924 - Phone
- (516) 662-0939
- NPI assigned
- Apr 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 318395 | NY | |
| Massage Therapist | 225700000X | 016273-1 | NY | Primary |
Addresses
Primary practice location
2199 Stateroute 9
Lake George, NY 12845-6924
Mailing address
81 Skara Brae Rd
Lake George, NY 12845-6924
Phone (516) 662-0939
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 |
|---|---|---|---|
| 318395 | NY | MD | Basic Emergency Medical Technician |
| 016273-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1104142850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 SKARA BRAE RD",
"city": "LAKE GEORGE",
"state": "NY",
"postal_code": "128456924",
"telephone_number": "516-662-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2199 STATEROUTE 9",
"city": "LAKE GEORGE",
"state": "NY",
"postal_code": "128456924",
"telephone_number": "516-662-0939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZUKAS",
"first_name": "JOYCE",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NY",
"license": "318395",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "016273-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake George, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.