Active NPI
Bianca Lee Montalvo, LMT
- Massage Therapist
- Nutley, NJ
National Provider Identifier
1316490741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT00253300
- Practice address
- 363 Centre St
2ND FL
Nutley, NJ 07110-4706 - Phone
- (551) 697-2433
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 18KT00253300 | NJ | Primary |
Addresses
Primary practice location
363 Centre St
2ND FL
Nutley, NJ 07110-4706
Mailing address
1307 79TH St
North Bergen, NJ 07047-4145
Phone (774) 232-8390
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 |
|---|---|---|---|
| 18KT00253300 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1316490741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 79TH ST",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070474145",
"telephone_number": "774-232-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 CENTRE ST",
"address_2": "2ND FL",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071104706",
"telephone_number": "551-697-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALVO",
"first_name": "BIANCA",
"middle_name": "LEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT00253300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.