Active NPI
Tinja Renece Henry
- Massage Therapist
- Hoboken, NJ
National Provider Identifier
1336863760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT01291200
- Practice address
- 204 2ND St
Hoboken, NJ 07030-3735 - Phone
- (201) 420-6988
- NPI assigned
- Sep 29, 2022
- Last updated
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 18KT01291200 | NJ | Primary |
Addresses
Primary practice location
204 2ND St
Hoboken, NJ 07030-3735
Mailing address
41 Wakeman Ave Apt 2
Newark, NJ 07104-2803
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.lifestagemassage.com |
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 |
|---|---|---|---|
| 18KT01291200 | NJ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoboken Women's Wellness | Massage Therapist | Current | Accepting new patients |
Locations
204 2nd St
Hoboken, NJ 07030
Phone (201) 420-6988
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1336863760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 WAKEMAN AVE APT 2",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071042803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 2ND ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070303735",
"telephone_number": "201-420-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "TINJA",
"middle_name": "RENECE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT01291200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.lifestagemassage.com",
"affiliation": "N",
"address_1": "204 2nd St",
"city": "Hoboken",
"state": "NJ",
"country_code": "US",
"postal_code": "070303735",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.