Individual provider Active NPI

Marcia Penha

  • Massage Therapist
  • Paramus, NJ
National Provider Identifier
1275830549
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26BT00247600 Issued in NJ
Practice address
205 Robin Rd
Suite 118
Paramus, NJ 07652-1449
Phone
(201) 225-1511
NPI assigned
Feb 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 26BT00247600 NJ Primary

Addresses

Primary practice location

205 Robin Rd
Suite 118
Paramus, NJ 07652-1449

Mailing address

168 W Passaic St Apt 1
Maywood, NJ 07607-1256
Phone (201) 956-8334

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

LicenseStateTypeSpecialty
26BT00247600NJMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1275830549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W PASSAIC ST APT 1",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071256",
            "telephone_number": "201-956-8334"
        },
        {
            "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": "PENHA",
        "first_name": "MARCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "26BT00247600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.