Active NPIIndividual provider

Edens Henrisse, LMT

Massage Therapist in Newark, New Jersey

NPI Number1659162899
Practice location
871 S 11TH St, Newark, NJ 07108-1303
Fax
—
Last updated
May 16, 2025

Edens Henrisse is a Massage Therapist based in Newark, NJ. Edens Henrisse practices in Newark, NJ and has the professional credentials of LMT. The NPI Number for Edens Henrisse is 1659162899 and holds a License No. 01541100 (NJ). The current practice location address for Edens Henrisse is 871 S 11TH St, Newark, NJ 07108-1303 and can be reached out via phone at 862-418-7350.

Provider Profile Details

NPI Number
1659162899
Provider Name
Edens Henrisse
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
871 S 11TH St, Newark, NJ 07108-1303
Phone Number
862-418-7350
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2025
Last Update Date
May 16, 2025
Certification Date
May 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
871 S 11TH St
Newark, NJ 07108-1303
City
Newark
Zip
07108-1303
Phone Number
862-418-7350
Newark, NJ 07108Get directions →

Provider Business Mailing Address Details

Address
871 S 11TH St
Newark, NJ 07108-1303
City
Newark
State
NJ
Zip
07108-1303
Phone Number
862-418-7350

License Information

License Number
01541100
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 Edens Henrisse, LMT?

The NPI number of Edens Henrisse, LMT is 1659162899. It was assigned on May 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Edens Henrisse, LMT?

Edens Henrisse, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 01541100.

Where does Edens Henrisse, LMT practice?

The practice location is 871 S 11TH St, Newark, NJ 07108-1303. The office can be reached at 862-418-7350 (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 1659162899 directly on the NPPES registry website.

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