Individual provider Active NPI

Rose C Mollica, L.M.T.

  • Massage Therapist
  • Brooklyn, NY
National Provider Identifier
1346477502
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
018391-1 Issued in NY
Practice address
8223 14TH Ave
Brooklyn, NY 11228-3113
Phone
(917) 626-5473
Fax
(718) 331-4122
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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 018391-1 NY Primary

Addresses

Primary practice location

8223 14TH Ave
Brooklyn, NY 11228-3113

Mailing address

4116 51St St
5D
Woodside, NY 11377-4466
Phone (917) 626-5473

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
018391-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1346477502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 51ST ST",
            "address_2": "5D",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774466",
            "telephone_number": "917-626-5473",
            "fax_number": "718-331-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283113",
            "telephone_number": "917-626-5473",
            "fax_number": "718-331-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLICA",
        "first_name": "ROSE",
        "middle_name": "C",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018391-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.