Active NPI
David Cardenas
- Massage Therapist
- Jersey City, NJ
National Provider Identifier
1114517737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT01153200
- Practice address
- 66 Romaine Ave Apt 12
Jersey City, NJ 07306-5320 - Phone
- (646) 266-3067
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 18KT01153200 | NJ | Primary |
Addresses
Primary practice location
66 Romaine Ave Apt 12
Jersey City, NJ 07306-5320
Mailing address
66 Romaine Ave Apt 12
Jersey City, NJ 07306-5320
Phone (646) 266-3067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18KT01153200 | Other | NJ | MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 18KT01153200 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1114517737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 ROMAINE AVE APT 12",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065320",
"telephone_number": "646-266-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 ROMAINE AVE APT 12",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065320",
"telephone_number": "646-266-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT01153200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "18KT01153200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.