Kandice Topaz Odom, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26BT00231600 Issued in NJ

Practice address

205 Robin Rd
Suite 118
Paramus, NJ 07652-1449

Phone

(201) 225-1511

Fax

(201) 225-9731

NPI assigned

Mar 24, 2011

Last updated

Jun 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1063711315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MURYLU DR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053904",
            "telephone_number": "201-938-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD",
            "address_2": "SUITE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521449",
            "telephone_number": "201-225-1511",
            "fax_number": "201-225-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "KANDICE",
        "middle_name": "TOPAZ",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "26BT00231600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Obrien, MD
• Victoria Catherine Ochs, REGISTERED DIETITIAN
• Patrick Oczkos, MD
• Alexandra Oddo
• Rachel Odinsky
• Winfred Odriscoll, LSW
• Rebecca Oelkers, LCSW
• Heripsime Ohanian
• Ohanian, Heripsime, PHD, MD
• Marc Ohanian, MD

• Massage Therapist in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.