Active NPIIndividual providerSole proprietor

Segilade Jobi-Odeneye, MASSAGE THERAPIST

Massage Therapist in Maplewood, New Jersey

NPI Number1790148179
Practice location
2168 Millburn Ave, Suite 205, Maplewood, NJ 07040-2640
Fax
973-843-7129
Last updated
April 8, 2016

Segilade Jobi-Odeneye is a Massage Therapist based in Maplewood, NJ. Segilade Jobi-Odeneye practices in Maplewood, NJ and has the professional credentials of MASSAGE THERAPIST. The NPI Number for Segilade Jobi-Odeneye is 1790148179 and holds a License No. 18KT00182400 (NJ). The current practice location address for Segilade Jobi-Odeneye 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
1790148179
Provider Name
Segilade Jobi-Odeneye
Credential
MASSAGE THERAPIST
Provider Entity Type
Individual
Gender
Female
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
Sole Proprietor
Yes
Provider Enumeration Date
April 1, 2016
Last Update Date
April 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2168 Millburn Ave
Suite 205
Maplewood, NJ 07040-2640
Zip
07040-2640
Phone Number
973-444-0040
Fax Number
973-843-7129
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
2168 Millburn Ave
Suite 205
Maplewood, NJ 07040-2640
City
Maplewood
State
NJ
Zip
07040-2640
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

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 Segilade Jobi-Odeneye, MASSAGE THERAPIST?

The NPI number of Segilade Jobi-Odeneye, MASSAGE THERAPIST is 1790148179. It was assigned on April 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Segilade Jobi-Odeneye, MASSAGE THERAPIST?

Segilade Jobi-Odeneye, MASSAGE THERAPIST is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18KT00182400.

Where does Segilade Jobi-Odeneye, MASSAGE THERAPIST 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 1790148179 directly on the NPPES registry website.

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