Individual provider Active NPI

Roman Wasyl Dobczansky

  • Massage Therapist
  • Westfield, NJ
National Provider Identifier
1427728948
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT01414800 Issued in NJ
Practice address
211 N Chestnut St
Westfield, NJ 07090-2410
Phone
(301) 356-7698
NPI assigned
Sep 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT01414800 NJ Primary

Addresses

Primary practice location

211 N Chestnut St
Westfield, NJ 07090-2410

Mailing address

211 N Chestnut St
Westfield, NJ 07090-2410
Phone (301) 356-7698

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

LicenseStateTypeSpecialty
18KT01414800NJMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1427728948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N CHESTNUT ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902410",
            "telephone_number": "301-356-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N CHESTNUT ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902410",
            "telephone_number": "301-356-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBCZANSKY",
        "first_name": "ROMAN",
        "middle_name": "WASYL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01414800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.