Active NPI
Michael Fanara, CMT
- Massage Therapist
- Toms River, NJ
National Provider Identifier
1336323278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26BT00014700
- Practice address
- 1133 Citta CT
Toms River, NJ 08753-8362 - Phone
- (732) 505-6759
- NPI assigned
- Dec 27, 2007
- Last updated
- Dec 27, 2007
- Sex
- Male
- 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 | 26BT00014700 | NJ | Primary |
Addresses
Primary practice location
1133 Citta CT
Toms River, NJ 08753-8362
Mailing address
1133 Citta CT
Toms River, NJ 08753-8362
Phone (732) 505-6759
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 |
|---|---|---|---|
| 26BT00014700 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1336323278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 CITTA CT",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087538362",
"telephone_number": "732-505-6759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 CITTA CT",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087538362",
"telephone_number": "732-505-6759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANARA",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "26BT00014700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
- Family Dental of Toms River (Toms River Family Dental)
- Family Dentistry of Toms River Corp
- Family First Chiropractic
- Family Planning Center of Ocean County, Inc. (LivWell Healthcare)
- Family Visiting Services of NJ
- Dalia Farag-Mikhail
- Klara Farkas, M.D.
- Yehuda Farkas
- Cassandra Farnung, OTR/L
- Charles W Farrell, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.