Active NPIIndividual providerSole proprietor

Michael Ciardulli Jr., LMT

Massage Therapist in Bloomfield, New Jersey

NPI Number1124635545
Practice location
174 Raab Ave, Bloomfield, NJ 07003-4521
Fax
—
Last updated
September 29, 2020

Michael Ciardulli is a Massage Therapist based in Bloomfield, NJ. Michael Ciardulli practices in Bloomfield, NJ and has the professional credentials of LMT. The NPI Number for Michael Ciardulli is 1124635545 and holds a License No. 023602 (NY). The current practice location address for Michael Ciardulli is 174 Raab Ave, Bloomfield, NJ 07003-4521 and can be reached out via phone at 619-250-2937.

Provider Profile Details

NPI Number
1124635545
Provider Name
Michael Ciardulli
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
174 Raab Ave, Bloomfield, NJ 07003-4521
Phone Number
619-250-2937
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2020
Last Update Date
September 29, 2020
Certification Date
September 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
174 Raab Ave
Bloomfield, NJ 07003-4521
Zip
07003-4521
Phone Number
619-250-2937
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
174 Raab Ave
Bloomfield, NJ 07003-4521
City
Bloomfield
State
NJ
Zip
07003-4521
Phone Number
619-250-2937

License Information

License Number
023602
License State
NY
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 Michael Ciardulli Jr., LMT?

The NPI number of Michael Ciardulli Jr., LMT is 1124635545. It was assigned on September 29, 2020 and is currently active in the NPPES registry.

What is the specialty of Michael Ciardulli Jr., LMT?

Michael Ciardulli Jr., LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NY under license number 023602.

Where does Michael Ciardulli Jr., LMT practice?

The practice location is 174 Raab Ave, Bloomfield, NJ 07003-4521. The office can be reached at 619-250-2937 (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 1124635545 directly on the NPPES registry website.

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