Russell Anthony Barbara Sr.

Individual provider Active NPI Massage Therapist · Flanders, NJ

NPI 1346035979 · NPPES record last updated Apr 14, 2025

Key facts

NPI
1346035979
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
18KT00535300 (NJ)
Practice address
268 US Highway 206 Ste 406
Flanders, NJ 07836-9083
Phone
(973) 668-5500
Fax
(973) 668-5142
NPI assigned
Apr 14, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18KT00535300NJMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00535300 NJ Yes

Addresses

Primary practice location

268 US Highway 206 Ste 406
Flanders, NJ 07836-9083

Mailing address

268 US Highway 206 Ste 406
Flanders, NJ 07836-9083
Phone (973) 668-5500

Other providers in Flanders, NJ

All providers in Flanders, NJ · Massage Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.