Organization Active NPI

Jadeleaf Massage Therapy P.C.

  • Massage Therapist
  • New York, NY
National Provider Identifier
1265830715
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27027213 Issued in NY
Legal business name
JADELEAF MASSAGE THERAPY P.C.
Practice address
280 Madison Ave
Ste. 807
New York, NY 10016-0801
Phone
(917) 484-3486
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Ms. Alisa Evelyn
Title
Massage Therapist
Phone
(917) 484-3496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 27027213 NY Primary

Addresses

Primary practice location

280 Madison Ave
Ste. 807
New York, NY 10016-0801

Mailing address

280 Madison Ave
Ste. 807
New York, NY 10016-0801
Phone (917) 484-3486

National Provider Directory

National Provider Directory

Locations

280 Madison Ave
Rm 807
New York, NY 10016
Phone (917) 484-3486

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1265830715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "STE. 807",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160801",
            "telephone_number": "917-484-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "STE. 807",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160801",
            "telephone_number": "917-484-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADELEAF MASSAGE THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "EVELYN",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "917-484-3496",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "27027213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.