MYUNG NICHOLSON (NPI# 1477198547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477198547 |
| Entity Type | Individual |
| Full Name | MYUNG NICHOLSON |
| Practice Address |
300 Congress St Quincy MA 02169-0907 |
| Mailing Address |
20 Woodward Ave Fl 5 Quincy MA 02169-4416 |
| Practice Telephone | 6177704048 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7109-MA | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
300 CONGRESS ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-0907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554251 | Steven A Nielsen | Ophthalmology | 300 Congress St, Suite 201, Quincy, MA 02169-0907 | 2005-08-03 |
| 1720511934 | United Prosthetics Inc | Prosthetic/Orthotic Supplier | 300 Congress St, Suite 404, Quincy, MA 02169-0907 | 2017-04-05 |
| 1962899534 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2015-04-22 |
| 1215326384 | United Diagnostics | Clinic/Center | 300 Congress St, Suite 206, Quincy, MA 02169-0907 | 2015-01-13 |
| 1649671876 | Laura Francoeur | Clinical Nurse Specialist | 300 Congress St, Suite 102, Quincy, MA 02169-0907 | 2014-09-08 |
| 1710387386 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2014-09-02 |
| 1669713830 | Andrea L Mazzaferro | Physical Therapist | 300 Congress St, Suite 301, Quincy, MA 02169-0907 | 2013-03-12 |
| 1487924239 | Crown Obstetrics and Gynecology | Obstetrics & Gynecology | 300 Congress St, Suite 102, Quincy, MA 02169-0907 | 2012-01-11 |
| 1396974812 | Helen Rego Moreira | Ophthalmology | 300 Congress St, Suite 200, Quincy, MA 02169-0907 | 2009-07-06 |
| 1508000803 | Jaime Daunt Kullak | Nurse Practitioner | 300 Congress St, 102, Quincy, MA 02169-0907 | 2009-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558806513 | Karla Daniela Morga | Massage Therapist | 21 D St. Sw, Suite B3, Quincy, WA 98848 | 2016-12-30 |
| 1548617178 | Nicole's Healing Hands Massage | Massage Therapist | 21 D St Sw Ste B3, Quincy, WA 98848-1236 | 2016-05-24 |
| 1558629311 | Waiman Lo | Massage Therapist | 1458 Hancock St Ste 220, Quincy, MA 02169-5214 | 2012-04-30 |
| 1609170968 | Aimee Marie Lutz | Massage Therapist | 110 C St Sw, Quincy, WA 98848-1207 | 2010-12-30 |
| 1629398375 | Katarzyna Anna Ginter | Massage Therapist | 15 Harvard St, Quincy, MA 02171-2813 | 2010-06-04 |
| 1487982013 | Kimarie Massage School | Massage Therapist | 319 Newport Ave, Quincy, MA 02170-1726 | 2009-11-19 |
| 1871722934 | Shun Yee Tang | Massage Therapist | 1431 Hancock St Ste 2f, Thai Massage and Acupuncture, Quincy, MA 02169-5217 | 2009-07-10 |
| 1558598748 | Li Yan Qin | Massage Therapist | 1431 Hancock St, 2 Floor, Thai Massage and Acupuncture, Quincy, MA 02169 | 2009-06-16 |
| 1669606059 | Ping Ping Wong | Massage Therapist | 329a Newport Ave, Quincy, MA 02170-1726 | 2009-05-13 |
| 1275781643 | Carol Diane Boulware | Massage Therapist | 1615 Spruce St, Quincy, IL 62301-2060 | 2008-08-28 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.