Angel Antonio Segarra, LPN

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

020730 Issued in NY

Practice address

130 Woodlawn Ave Apt 1
Jersey City, NJ 07305-3136

Phone

(917) 324-5533

NPI assigned

Oct 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1336866680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WOODLAWN AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053136",
            "telephone_number": "917-324-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WOODLAWN AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053136",
            "telephone_number": "917-324-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARRA",
        "first_name": "ANGEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "323481",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "020730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Michael Seaver, LCSW
• Carlo Sebello, NP
• Second Chance Opportunity Reintegration Entity Systems, LLC
• Secura Home Health LLC
• Seemore, Inc. Dba Cohen'S Fashion Optical
• Kadiatu Seibureh, RN
• Sekar Natarajan MD
• Victoria Sekely
• Moshe Selengut
• Ahmed Seman, M.D

• Massage Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.