Organization Active NPI

Stretch Recovery Lounge

  • Health Service Clinic/Center
  • Ridgewood, NJ
National Provider Identifier
1205694890
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
STRETCH RECOVERY LOUNGE
Practice address
29 Godwin Ave
Ridgewood, NJ 07450-3746
Phone
(973) 339-3336
NPI assigned
Mar 8, 2024
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Jake Feury
Title
Founder
Phone
(201) 274-6726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

29 Godwin Ave
Ridgewood, NJ 07450-3746

Mailing address

6 Ivy Crest LN
Rockaway, NJ 07866-1310
Phone (201) 274-6726

National Provider Directory

National Provider Directory

Locations

29 Godwin Ave
Ridgewood, NJ 07450
Phone (973) 339-3336

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1205694890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 IVY CREST LN",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661310",
            "telephone_number": "201-274-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 GODWIN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503746",
            "telephone_number": "973-339-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRETCH RECOVERY LOUNGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "FEURY",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "201-274-6726"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.