Active NPIIndividual providerSole proprietor

Durand A Warren, SELF

Massage Therapist in Newark, New Jersey

NPI Number1164329868
Practice location
863 S 16TH St, Newark, NJ 07108-1120
Fax
347-837-2326
Last updated
October 24, 2026

Durand Allen Warren is a Massage Therapist based in Newark, NJ. Durand Allen Warren practices in Newark, NJ and has the professional credentials of SELF. The NPI Number for Durand Allen Warren is 1164329868 and holds a License No. 18KT00779200 (NJ). The current practice location address for Durand Allen Warren is 863 S 16TH St, Newark, NJ 07108-1120 and can be reached out via phone at 347-837-2326 and via fax at 347-837-2326.

Provider Profile Details

NPI Number
1164329868
Provider Name
Durand Allen Warren
Credential
SELF
Provider Entity Type
Individual
Gender
Male
Address
863 S 16TH St, Newark, NJ 07108-1120
Phone Number
347-837-2326
Fax Number
347-837-2326
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
October 24, 2026
Last Update Date
October 24, 2026
Certification Date
October 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
863 S 16TH St
Newark, NJ 07108-1120
City
Newark
Zip
07108-1120
Phone Number
347-837-2326
Fax Number
347-837-2326
Newark, NJ 07108Get directions →

Provider Business Mailing Address Details

Address
863 S 16TH St
Newark, NJ 07108-1120
City
Newark
State
NJ
Zip
07108-1120
Phone Number
347-837-2326
Fax Number
347-837-2326

License Information

License Number
18KT00779200
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 Durand A Warren, SELF?

The NPI number of Durand A Warren, SELF is 1164329868. It was assigned on October 24, 2026 and is currently active in the NPPES registry.

What is the specialty of Durand A Warren, SELF?

Durand A Warren, SELF is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18KT00779200.

Where does Durand A Warren, SELF practice?

The practice location is 863 S 16TH St, Newark, NJ 07108-1120. The office can be reached at 347-837-2326 (phone) or 347-837-2326 (fax).

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 1164329868 directly on the NPPES registry website.

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