Active NPIIndividual providerSole proprietor

Tara J Gnagnarelli, LMT

Massage Therapist in Old Tappan, New Jersey

NPI Number1114717527
Practice location
1 Dewolf RD Ste 208, Old Tappan, NJ 07675-7084
Fax
—
Last updated
May 8, 2025

Tara Jeanine Gnagnarelli is a Massage Therapist based in Old Tappan, NJ. Tara Jeanine Gnagnarelli practices in Old Tappan, NJ and has the professional credentials of LMT. The NPI Number for Tara Jeanine Gnagnarelli is 1114717527 and holds a License No. 18kt01498600 (NJ). The current practice location address for Tara Jeanine Gnagnarelli is 1 Dewolf RD Ste 208, Old Tappan, NJ 07675-7084 and can be reached out via phone at 201-497-6612.

Provider Profile Details

NPI Number
1114717527
Provider Name
Tara Jeanine Gnagnarelli
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1 Dewolf RD Ste 208, Old Tappan, NJ 07675-7084
Phone Number
201-497-6612
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2025
Last Update Date
May 8, 2025
Certification Date
May 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Dewolf RD Ste 208
Old Tappan, NJ 07675-7084
Zip
07675-7084
Phone Number
201-497-6612
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
5 Oakdale Mnr Apt C2
Suffern, NY 10901-5722
City
Suffern
State
NY
Zip
10901-5722
Phone Number
845-709-9528

License Information

License Number
18kt01498600
License State
NJ
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Tara J Gnagnarelli, LMT?

The NPI number of Tara J Gnagnarelli, LMT is 1114717527. It was assigned on May 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Tara J Gnagnarelli, LMT?

Tara J Gnagnarelli, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18kt01498600.

Where does Tara J Gnagnarelli, LMT practice?

The practice location is 1 Dewolf RD Ste 208, Old Tappan, NJ 07675-7084. The office can be reached at 201-497-6612 (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 1114717527 directly on the NPPES registry website.

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