Active NPI
Jorge F Olmo, MT
- Massage Therapist
- Clifton, NJ
National Provider Identifier
1093544975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT00564100
- Practice address
- 1135 Broad St
Clifton, NJ 07013-3346 - Phone
- (844) 639-3539
- NPI assigned
- Jul 30, 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 | 18KT00564100 | NJ | Primary |
Addresses
Primary practice location
1135 Broad St
Clifton, NJ 07013-3346
Mailing address
45 Eisenhower Dr Ste 330
Paramus, NJ 07652-1416
Phone (184) 463-9353
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18KT00564100 | NJ | MD | Massage Therapist |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABBHDD/Endpoint/ABBHDD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1093544975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 EISENHOWER DR STE 330",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521416",
"telephone_number": "184-463-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 BROAD ST",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133346",
"telephone_number": "844-639-3539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMO",
"first_name": "JORGE",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT00564100",
"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 Jul 30, 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.