Massage Supreme Therapeutic And Wellness Spa
Massage Therapist in Maplewood, New Jersey
1427412634- Practice location
- 2168 Millburn Ave, Suite 205, Maplewood, NJ 07040-2640
- Phone
- 973-444-0040
- Fax
- 973-843-7129
- Last updated
- April 14, 2016
Massage Supreme Therapeutic And Wellness Spa is a healthcare organization based in Maplewood, NJ. Massage Supreme Therapeutic And Wellness Spa practices in Maplewood, NJ. The NPI Number for Massage Supreme Therapeutic And Wellness Spa is 1427412634 and holds a License No. 18KT00182400 (NJ). The current practice location address for Massage Supreme Therapeutic And Wellness Spa is 2168 Millburn Ave, Suite 205, Maplewood, NJ 07040-2640 and can be reached out via phone at 973-444-0040 and via fax at 973-843-7129.
Provider Profile Details
- NPI Number
- 1427412634
- Provider Name
- Massage Supreme Therapeutic And Wellness Spa
- Provider Entity Type
- Organization
- Address
- 2168 Millburn Ave, Suite 205, Maplewood, NJ 07040-2640
- Phone Number
- 973-444-0040
- Fax Number
- 973-843-7129
- Primary Taxonomy
- Massage Therapist · 225700000X
- Organization Subpart
- No
- Authorized Official
- Segilade Jobiodeneye · Owner · 973-444-0040
- Provider Enumeration Date
- April 13, 2016
- Last Update Date
- April 14, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2168 Millburn Ave
Suite 205
Maplewood, NJ 07040-2640 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-2640
- Phone Number
- 973-444-0040
- Fax Number
- 973-843-7129
Provider Business Mailing Address Details
- Address
- 183A Court St
Newark, NJ 07103-3824 - City
- Newark
- State
- NJ
- Zip
- 07103-3824
- Phone Number
- 973-444-0040
- Fax Number
- 973-843-7129
License Information
- License Number
- 18KT00182400
- License State
- NJ
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Massage Supreme Therapeutic And Wellness Spa?
The NPI number of Massage Supreme Therapeutic And Wellness Spa is 1427412634. It was assigned on April 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Massage Supreme Therapeutic And Wellness Spa?
Massage Supreme Therapeutic And Wellness Spa is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18KT00182400.
Where does Massage Supreme Therapeutic And Wellness Spa practice?
The practice location is 2168 Millburn Ave, Suite 205, Maplewood, NJ 07040-2640. The office can be reached at 973-444-0040 (phone) or 973-843-7129 (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 1427412634 directly on the NPPES registry website.