Active NPI
Pradeep Pillai
- Massage Therapist
- North Brunswick, NJ
National Provider Identifier
1184163388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT00287100
- Practice address
- 1503 Finnegan LN
North Brunswick, NJ 08902-1061 - Phone
- (732) 658-6070
- Fax
- (888) 828-3316
- NPI assigned
- Feb 21, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Mechanotherapist | 172M00000X | |||
| Massage Therapist | 225700000X | 18KT00287100 | NJ | Primary |
Addresses
Primary practice location
1503 Finnegan LN
North Brunswick, NJ 08902-1061
Mailing address
1503 Finnegan LN
North Brunswick, NJ 08902-1061
Phone (732) 658-6070
Other practice location 1
22 Old Short Hills Rd Ste 106
Livingston, NJ 07039-5605
Phone (973) 758-8971
Other practice location 2
1700 Oak Tree Rd
Edison, NJ 08820-2854
Phone (732) 662-5589
Other practice location 3
3050 Woodbridge Ave
Edison, NJ 08837-3460
Phone (732) 738-1580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18KT00287100 | Other | NJ | MASSAGE AND BODYWORK THERAPY |
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 |
|---|---|---|---|
| 18KT00287100 | NJ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santhigram Kerala Ayurvedic Co of US Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Santhigram Wellness
- Clinic/Center
- North Brunswick, NJ
- NPI 1730626706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1184163388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 FINNEGAN LN",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021061",
"telephone_number": "732-658-6070",
"fax_number": "888-828-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 FINNEGAN LN",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021061",
"telephone_number": "732-658-6070",
"fax_number": "888-828-3316"
}
],
"practiceLocations": [
{
"address_1": "22 Old Short Hills Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "NJ",
"postal_code": "070395605",
"country_code": "US",
"telephone_number": "973-758-8971",
"fax_number": "888-828-3316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Oak Tree Rd",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088202854",
"country_code": "US",
"telephone_number": "732-662-5589",
"fax_number": "888-828-3316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3050 Woodbridge Ave",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088373460",
"country_code": "US",
"telephone_number": "732-738-1580",
"fax_number": "888-828-3316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILLAI",
"first_name": "PRADEEP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-21",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT00287100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE AND BODYWORK THERAPY",
"identifier": "18KT00287100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.