Jaclyn Peene

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT01476900 Issued in NJ

Practice address

26 Pehle Ave
Saddle Brook, NJ 07663-5224

Phone

(551) 486-9703

NPI assigned

Jan 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1386406338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PEHLE AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635224",
            "telephone_number": "551-486-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PEHLE AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635224",
            "telephone_number": "551-486-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEENE",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01476900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marta Patino
• Patriot Elder Care
• Joanne Paventa, P.T.
• Peaceful Practice, LLC
• Peachy Nutrition LLC
• Allyson Petruzziello, APN
• Philip Silverman DO PA
• John R Pinto, DC
• Albert George Plaza, DC
• Ronald J Poblete, MD

• Massage Therapist in Saddle Brook, NJ
• Providers in Saddle Brook, 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 Jan 25, 2024; 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.