Active NPI
Rose Cobo
- Massage Therapist
- Staten Island, NY
National Provider Identifier
1679832372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 004327-1
- Practice address
- 97 New Dorp LN
Suite D
Staten Island, NY 10306-2364 - Phone
- (718) 980-5161
- NPI assigned
- May 15, 2012
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 004327-1 | NY | Primary |
Addresses
Primary practice location
97 New Dorp LN
Suite D
Staten Island, NY 10306-2364
Mailing address
97 New Dorp LN
Suite D
Staten Island, NY 10306-2364
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004327-1 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lymphedema Management Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Staten Island, NY
- NPI 1952657710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1679832372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 NEW DORP LN",
"address_2": "SUITE D",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 NEW DORP LN",
"address_2": "SUITE D",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062364",
"telephone_number": "718-980-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBO",
"first_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "004327-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.