Active NPI
Kimberly L Conk
- Massage Therapist
- Paramus, NJ
National Provider Identifier
1194953299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 873346
- Practice address
- 205 Robin Rd
Suite 118
Paramus, NJ 07652-1449 - Phone
- (201) 225-1511
- NPI assigned
- Jun 26, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 873346 | NJ | Primary |
Addresses
Primary practice location
205 Robin Rd
Suite 118
Paramus, NJ 07652-1449
Mailing address
200 4TH Street
Palisades Park, NJ 07650
Phone (201) 783-6216
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 |
|---|---|---|---|
| 873346 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1194953299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 4TH STREET",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "07650",
"telephone_number": "201-783-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 ROBIN RD",
"address_2": "SUITE 118",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521449",
"telephone_number": "201-225-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONK",
"first_name": "KIMBERLY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "873346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
- Comprehensive Medical Services P.C.
- Comprehensive Nephrology of North Jersey Corp
- Comprehensive Nephrology of Northern New Jersey LLC
- Comprehensive Therapy of Paramus, LLC
- Computer Enabling Program Foundation
- Diana Marie Constantino, APN
- Theodore Joseph Conte, MD,
- Maria Jose Contreras Castillo, M.D.
- Renzo Contreras
- Cynthia Rose Cook, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.