Nickjax,LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

NICKJAX,LLC

Doing business as

LearningRx

Practice address

115 E 82ND St
Suite 1B
New York, NY 10028-0831

Phone

(212) 738-9264

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Richard Mancuso

Title

Executive Director

Phone

(212) 738-9264

Specialties & licenses 1

Addresses

Other names 1

• LearningRx Doing business as

Tax ID family

Learningrx2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nickjax LLC

  dba LearningRx

  • PACE Provider Organization
  • New York, NY
  • NPI 1992070056
  NPD tax ID

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1336446178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 82ND ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280831",
            "telephone_number": "212-738-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 82ND ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280831",
            "telephone_number": "212-738-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKJAX,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-738-9264",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LearningRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Nickerson, LMHC
• Alexandra Nickeson, BSN, RN-BC
• Leu-Anne Nickey, MHS
• Mikhail Vladimir Nickita, MD
• Nickjax LLC (LearningRx)
• Stephen Lawrence Nickl, D.O., M.S.
• Megan Nicklay, M.A.T.
• Kali Nickles
• Leroy Nickles, M.D.
• Katy Anne Nickolaus, PA-C

• Rehabilitation Practitioner in New York, NY
• Providers in New York, NY by specialty
• Rehabilitation Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.