Active NPI
Matheus Santos
- Massage Therapist
- Clifton, NJ
National Provider Identifier
1063230142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT01478800
- Practice address
- 1117 US Highway 46 Ste 203
Clifton, NJ 07013-2450 - Phone
- (973) 954-5113
- NPI assigned
- Sep 28, 2024
- Last updated
- Oct 3, 2024
- Sex
- Male
- 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 | 18KT01478800 | NJ | Primary |
Addresses
Primary practice location
1117 US Highway 46 Ste 203
Clifton, NJ 07013-2450
Mailing address
170 Wilson Ave
Newark, NJ 07105-6581
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 |
|---|---|---|---|
| 18KT01478800 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1063230142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 WILSON AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071056581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 US HIGHWAY 46 STE 203",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132450",
"telephone_number": "973-954-5113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "MATHEUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-28",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT01478800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.