Active NPI
Medical Massage Network LLC
- Massage Therapist
- Fair Lawn, NJ
National Provider Identifier
1174386155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ana C Velazco, LMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | FabSilhouette@MedicalMassageNetwork.com | Direct |
National Provider Directory
National Provider DirectoryLocations
11-19 River Rd
Fair Lawn, NJ 07410
Phone (201) 402-7848
Interoperability endpoints
- 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.