Jennifer Mancuso

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

016732 Issued in NY

Practice address

403 Cedar Ave
Nyack, NY 10960-1311

Phone

(917) 749-6034

NPI assigned

Feb 17, 2023

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

State licenses

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1710685870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CEDAR AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601311",
            "telephone_number": "917-749-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CEDAR AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601311",
            "telephone_number": "917-749-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "016732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainuddin Al Mahmud
• Elfrida Shandar Malkin, M.D.
• Janine Malone
• Denise Maloney, LMT
• Aleksandra Mamorska-Dyga, M.D.
• Michael Paul Mangano, M.D.
• Rachel L Mann, M.A. CCC-SLP
• Vijaya Kumar Manoharan, RPH
• Marilyn Ina Marber, M.A., C.C.C.
• Robert J March, MD

• Massage Therapist in Nyack, NY
• Providers in Nyack, 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 Feb 17, 2023; 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.