Active NPIIndividual providerSole proprietor

Jonathan Maldonado, LMT, MMP

Massage Therapist in Fair Lawn, New Jersey

NPI Number1821579517
Practice location
15-01 Pollitt Dr Ste 3, Fair Lawn, NJ 07410-2769
Fax
—
Last updated
August 22, 2018

Jonathan Maldonado is a Massage Therapist based in Fair Lawn, NJ. Jonathan Maldonado practices in Fair Lawn, NJ and has the professional credentials of LMT, MMP. The NPI Number for Jonathan Maldonado is 1821579517 and holds a License No. 18KT00590100 (NJ). The current practice location address for Jonathan Maldonado is 15-01 Pollitt Dr Ste 3, Fair Lawn, NJ 07410-2769 and can be reached out via phone at 201-785-6792.

Provider Profile Details

NPI Number
1821579517
Provider Name
Jonathan Maldonado
Credential
LMT, MMP
Provider Entity Type
Individual
Gender
Male
Address
15-01 Pollitt Dr Ste 3, Fair Lawn, NJ 07410-2769
Phone Number
201-785-6792
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
August 22, 2018
Last Update Date
August 22, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-01 Pollitt Dr Ste 3
Fair Lawn, NJ 07410-2769
Zip
07410-2769
Phone Number
201-785-6792
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
291 Vernon Ave
Paterson, NJ 07503-1010
City
Paterson
State
NJ
Zip
07503-1010
Phone Number
201-785-6792

License Information

License Number
18KT00590100
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 Jonathan Maldonado, LMT, MMP?

The NPI number of Jonathan Maldonado, LMT, MMP is 1821579517. It was assigned on August 22, 2018 and is currently active in the NPPES registry.

What is the specialty of Jonathan Maldonado, LMT, MMP?

Jonathan Maldonado, LMT, MMP is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18KT00590100.

Where does Jonathan Maldonado, LMT, MMP practice?

The practice location is 15-01 Pollitt Dr Ste 3, Fair Lawn, NJ 07410-2769. The office can be reached at 201-785-6792 (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 1821579517 directly on the NPPES registry website.

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