Individual provider Active NPI

Elaine Crivello

  • Massage Therapist
  • Bloomsbury, NJ
National Provider Identifier
1215393574
Registry record updated Jan 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00498700 Issued in NJ
Practice address
960 Route 173
Bloomsbury, NJ 08804-3112
Phone
(908) 313-0872
NPI assigned
Jan 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00498700 NJ Primary

Addresses

Primary practice location

960 Route 173
Bloomsbury, NJ 08804-3112

Mailing address

960 Route 173
Bloomsbury, NJ 08804-3112
Phone (908) 313-0872

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

LicenseStateTypeSpecialty
18KT00498700NJMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451606400000",
    "number": "1215393574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 ROUTE 173",
            "city": "BLOOMSBURY",
            "state": "NJ",
            "postal_code": "088043112",
            "telephone_number": "908-313-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 ROUTE 173",
            "city": "BLOOMSBURY",
            "state": "NJ",
            "postal_code": "088043112",
            "telephone_number": "908-313-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIVELLO",
        "first_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-01",
        "last_updated": "2016-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00498700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.