Organization Active NPI

Medical Massage Network LLC

  • Massage Therapist
  • Fair Lawn, NJ
National Provider Identifier
1174386155
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MEDICAL MASSAGE NETWORK LLC
Practice address
11-19 River Rd
Fair Lawn, NJ 07410-1463
Phone
(201) 402-7848
NPI assigned
Feb 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Ana C Velazco, LMTNPI 1477324358
Title
Owner/ Coo
Phone
(201) 402-7848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

11-19 River Rd
Fair Lawn, NJ 07410-1463

Mailing address

11-19 River Rd
Fair Lawn, NJ 07410-1463
Phone (201) 402-7848

Other names 1

  • FabSilhouette Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FabSilhouette@MedicalMassageNetwork.com Direct

National Provider Directory

National Provider Directory

Locations

11-19 River Rd
Fair Lawn, NJ 07410
Phone (201) 402-7848

Interoperability endpoints

  • Direct secure messaging: fabsilhouette@medicalmassagenetwork.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1174386155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-19 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101463",
            "telephone_number": "201-402-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-19 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101463",
            "telephone_number": "201-402-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MASSAGE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "VELAZCO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ COO",
        "authorized_official_telephone_number": "201-402-7848",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FabSilhouette@MedicalMassageNetwork.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Other",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11-19 River Rd",
            "city": "Fair Lawn",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074101463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FabSilhouette",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.