Individual provider Active NPI

Lalithambika Nair

  • Massage Therapist
  • North Brunswick, NJ
National Provider Identifier
1215476411
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00261400 Issued in NJ
Practice address
1503 Finnegan LN
North Brunswick, NJ 08902-1061
Phone
(732) 658-6070
Fax
(888) 828-3316
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Nutrition Education Nutritionist 133NN1002X
Mechanotherapist 172M00000X
Homeopath 175L00000X 1431 ZZ
Massage Therapist 225700000X 18KT00261400 NJ Primary

Addresses

Primary practice location

1503 Finnegan LN
North Brunswick, NJ 08902-1061

Mailing address

1503 Finnegan LN
North Brunswick, NJ 08902-1061
Phone (732) 658-6070

Other practice location 1

1700 Oak Tree Rd
Edison, NJ 08820-2854
Phone (732) 662-5589

Other practice location 2

3050 Woodbridge Ave
Edison, NJ 08837-3460
Phone (732) 738-1580

Other practice location 3

22 Old Short Hills Rd
Livingston, NJ 07039-5604
Phone (973) 758-8971

Other identifiers 1

IdentifierTypeStateIssuer
18KT00261400OtherNJMASSAGE AND BODY WORK THERAPY

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
1431ZZMDHomeopath
18KT00261400NJMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santhigram Kerala Ayurvedic Co of US Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1215476411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 FINNEGAN LN",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021061",
            "telephone_number": "732-658-6070",
            "fax_number": "888-828-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 FINNEGAN LN",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021061",
            "telephone_number": "732-658-6070",
            "fax_number": "888-828-3316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Oak Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202854",
            "country_code": "US",
            "telephone_number": "732-662-5589",
            "fax_number": "888-828-3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Woodbridge Ave",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088373460",
            "country_code": "US",
            "telephone_number": "732-738-1580",
            "fax_number": "888-828-3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Old Short Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395604",
            "country_code": "US",
            "telephone_number": "973-758-8971",
            "fax_number": "888-828-3316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIR",
        "first_name": "LALITHAMBIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "ZZ",
            "license": "1431",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00261400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE AND BODY WORK THERAPY",
            "identifier": "18KT00261400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.