Active NPI
Charlotte Mon Chuayana
- Massage Therapist
- New Milford, NJ
National Provider Identifier
1033452925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT00066100
- Practice address
- 270 Linden PL
New Milford, NJ 07646-3002 - Phone
- (201) 970-8407
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18KT00066100 | NJ | Primary |
Addresses
Primary practice location
270 Linden PL
New Milford, NJ 07646-3002
Mailing address
270 Linden PL
New Milford, NJ 07646-3002
Phone (201) 970-8407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W198340967 | Other | NJ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18KT00066100 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1033452925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 LINDEN PL",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076463002",
"telephone_number": "201-970-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 LINDEN PL",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076463002",
"telephone_number": "201-970-8407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUAYANA",
"first_name": "CHARLOTTE",
"middle_name": "MON",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT00066100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "W198340967",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Milford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.