NPIMap

Organization Active NPI

Hoboken Women's Wellness

Doing business as Life Stage Massage

  • Massage Therapist
  • Hoboken, NJ
National Provider Identifier
1255130241
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HOBOKEN WOMEN'S WELLNESS
Doing business as
Life Stage Massage
Practice address
204 2ND St
Hoboken, NJ 07030-3735
Phone
(201) 420-6988
NPI assigned
Mar 11, 2025
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Mollie Bollers Surkin, LMT
Title
Director
Phone
(917) 549-9140

Specialties & licenses 1

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

Addresses

Primary practice location

204 2ND St
Hoboken, NJ 07030-3735

Mailing address

204 2ND St
Hoboken, NJ 07030-3735
Phone (201) 420-6988

Other names 1

  • Life Stage Massage Doing business as

National Provider Directory

National Provider Directory

Locations

204 2nd St
Hoboken, NJ 07030
Phone (201) 420-6988

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1255130241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 2ND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303735",
            "telephone_number": "201-420-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 2ND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303735",
            "telephone_number": "201-420-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBOKEN WOMEN'S WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "BOLLERS SURKIN",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-549-9140",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Stage Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.