Jillian Marie Zaccarella, LMT, COSMOTOLOGIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

019806 Issued in NY

Practice address

105 S 4TH St
Lewiston, NY 14092-1522

Phone

(716) 348-4743

NPI assigned

Dec 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1548564933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 HILLVIEW CT",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921810",
            "telephone_number": "716-348-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S 4TH ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921522",
            "telephone_number": "716-348-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCARELLA",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT, COSMOTOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Rose Wilkins, COTA
• Robin Williams
• Stacey Rochelle Williams, NURSE PRACTITIONER
• Women'S Medicine of Niagara, PLLC
• James M Wopperer, M.D.
• Xiaodan Zhou
• Zina D. Hajduczok, M.D.P.C.
• Nicholas Frank Zornek Jr., MD

• Massage Therapist in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.