Active NPI
Karissa Masuicca
- Behavior Analyst
- Ridgewood, NJ
National Provider Identifier
1497357537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4436
- Practice address
- 581 Highland Ave
Ridgewood, NJ 07450-4731 - Phone
- (201) 618-3671
- NPI assigned
- Nov 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-08-4436 | Primary |
Addresses
Primary practice location
581 Highland Ave
Ridgewood, NJ 07450-4731
Mailing address
147 Holland Ave
New Milford, NJ 07646-2908
Phone (201) 618-3671
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | forwardaba.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1497357537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 HOLLAND AVE",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076462908",
"telephone_number": "201-618-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 HIGHLAND AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504731",
"telephone_number": "201-618-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASUICCA",
"first_name": "KARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-08-4436",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "forwardaba.com",
"affiliation": "N",
"address_1": "581 Highland Ave",
"city": "Ridgewood",
"state": "NJ",
"country_code": "US",
"postal_code": "074504731",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.