Ilia Gerassimov, LMT
Massage Therapist in Little Ferry, New Jersey
1285211961- Practice location
- 14 Center St, Little Ferry, NJ 07643-1803
- Phone
- 718-506-4515
- Fax
- —
- Last updated
- March 27, 2021
Ilia Gerassimov is a Massage Therapist based in Little Ferry, NJ. Ilia Gerassimov practices in Little Ferry, NJ and has the professional credentials of LMT. The NPI Number for Ilia Gerassimov is 1285211961 and holds a License No. 024648 (NY). The current practice location address for Ilia Gerassimov is 14 Center St, Little Ferry, NJ 07643-1803 and can be reached out via phone at 718-506-4515.
Provider Profile Details
- NPI Number
- 1285211961
- Provider Name
- Ilia Gerassimov
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14 Center St, Little Ferry, NJ 07643-1803
- Phone Number
- 718-506-4515
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 27, 2021
- Last Update Date
- March 27, 2021
- Certification Date
- March 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Center St
Little Ferry, NJ 07643-1803 - City
- Little Ferry
- State
- New Jersey
- Zip
- 07643-1803
- Phone Number
- 718-506-4515
Provider Business Mailing Address Details
- Address
- 14 Center St
Little Ferry, NJ 07643-1803 - City
- Little Ferry
- State
- NJ
- Zip
- 07643-1803
- Phone Number
- 718-506-4515
License Information
- License Number
- 024648
- License State
- NY
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ilia Gerassimov, LMT?
The NPI number of Ilia Gerassimov, LMT is 1285211961. It was assigned on March 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Ilia Gerassimov, LMT?
Ilia Gerassimov, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NY under license number 024648.
Where does Ilia Gerassimov, LMT practice?
The practice location is 14 Center St, Little Ferry, NJ 07643-1803. The office can be reached at 718-506-4515 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285211961 directly on the NPPES registry website.