Individual provider Active NPI

Nicole Y Contreras, MT

  • Nurse Massage Therapist (NMT)
  • Verona, NJ
National Provider Identifier
1629864673
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
18KT01519000 Issued in NJ
Practice address
1 Linn Dr Unit 1201
Verona, NJ 07044-3123
Phone
(862) 944-8030
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT)Group: 193400000X SINGLE SPECIALTY GROUP 163WM1400X 18KT01519000 NJ Primary

Addresses

Primary practice location

1 Linn Dr Unit 1201
Verona, NJ 07044-3123

Mailing address

1 Linn Dr Unit 1201
Verona, NJ 07044-3123
Phone (862) 944-8030

Other names 1

  • Nicole Yadira Contreras Former name

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
18KT01519000NJMDNurse Massage Therapist (NMT)

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1629864673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINN DR UNIT 1201",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070443123",
            "telephone_number": "862-944-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINN DR UNIT 1201",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070443123",
            "telephone_number": "862-944-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "NICOLE",
        "middle_name": "Y",
        "name_prefix": "Miss",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "NJ",
            "license": "18KT01519000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CONTRERAS",
            "middle_name": "YADIRA",
            "credential": "MT NICOLE CONTRERAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.