Samantha Kelley Taylor

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00534500 Issued in NJ

Practice address

3053 Kennedy Blvd
Jersey City, NJ 07306-3605

Phone

(201) 839-5380

NPI assigned

Sep 21, 2017

Last updated

Sep 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine and Rehabilitation Center of Jersey City LLC

  • Chiropractor
  • Elizabeth, NJ
  • NPI 1740712314
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1194234203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 KENNEDY BLVD APT 2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025235",
            "telephone_number": "201-898-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063605",
            "telephone_number": "201-839-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SAMANTHA",
        "middle_name": "KELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00534500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feham Tariq, MD
• Hildania Taveras
• Yesenia Taveras, LPC
• Carol Lorraine Taylor, RN
• Charles Reid Taylor, PH.D.
• Scott Taylor
• Sonya Tcherevkoff, OTR/L
• TDS Jersey City Heights LLC
• Tea & Therapy
• Technocare LLC

• Massage Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.