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Nickjax,llc

NPI 1336446178ActiveOrganization· Rehabilitation Practitioner· New York, NY

Rehabilitation Practitioner in New York, New York, registered in NPPES in February 2011. The authorized official on file is Richard Mancuso, Executive Director.

Overview

NPI1336446178
StatusActive
Entity typeOrganization
NPI issuedFeb 14, 2011
Last updated in NPPESFeb 14, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Rehabilitation Practitioner Primary225400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Rehabilitation Practitioner providers in New York

All 37 Rehabilitation Practitioner providers in New York · All Rehabilitation Practitioner providers in New York