Individual provider Active NPI

Ruth Laicovsky, CMT

  • Massage Therapist
  • Mullica Hill, NJ
National Provider Identifier
1942327671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1286921 Issued in NJ
Practice address
110 Cedar Grove Rd
Mullica Hill, NJ 08062-4618
Phone
(856) 223-5140
NPI assigned
Mar 26, 2007
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 1286921 NJ Primary

Addresses

Primary practice location

110 Cedar Grove Rd
Mullica Hill, NJ 08062-4618

Mailing address

110 Cedar Grove Rd
Mullica Hill, NJ 08062-4618
Phone (856) 223-5140

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

LicenseStateTypeSpecialty
1286921NJMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942327671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CEDAR GROVE RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624618",
            "telephone_number": "856-223-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CEDAR GROVE RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624618",
            "telephone_number": "856-223-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAICOVSKY",
        "first_name": "RUTH",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "1286921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, 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.