Awilda Vasquez Yambo, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00156600 Issued in NJ

Practice address

561 E 28TH St
Paterson, NJ 07504-1862

Phone

(201) 640-5428

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

Yes

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1497206528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 AUGUSTA ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113411",
            "telephone_number": "201-640-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 E 28TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041862",
            "telephone_number": "201-640-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ YAMBO",
        "first_name": "AWILDA",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00156600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Anne Valle, PT
• Loribeth Vallejo, DOCTORATE PHARMACY
• Vance Medical Group
• Petriepol Vasquez Varga
• Jeny Varughese, RN
• Gabriela Vasquez
• Geraldin Vasquez
• Jeffrey Miguel Vasquez Sr.
• Kevin Vasquez
• Nicole Vassallo, PA

• Massage Therapist in Paterson, NJ
• Providers in Paterson, 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 24, 2016; 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.