Individual provider Active NPI

Isabella Angelina Roccanova, LMT

  • Massage Therapist
  • Union, NJ
National Provider Identifier
1558564799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
007656 Issued in NY
Practice address
1232 Glenn Ave
Union, NJ 07083-5228
Phone
(908) 647-0180
Fax
(908) 604-5249
NPI assigned
Jun 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 007656 NY Primary

Addresses

Primary practice location

1232 Glenn Ave
Union, NJ 07083-5228

Mailing address

1232 Glenn Ave
Union, NJ 07083-5228
Phone (908) 647-0180

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558564799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 GLENN AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835228",
            "telephone_number": "908-647-0180",
            "fax_number": "908-604-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 GLENN AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835228",
            "telephone_number": "908-647-0180",
            "fax_number": "908-604-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCANOVA",
        "first_name": "ISABELLA",
        "middle_name": "ANGELINA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "007656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.