Individual provider Active NPI

Denise Lupe Monroy

  • Massage Therapist
  • Lyndhurst, NJ
National Provider Identifier
1659866283
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00252800 Issued in NJ
Practice address
360 Ridge Rd
Lyndhurst, NJ 07071-2212
Phone
(201) 888-0868
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 18KT00252800 NJ Primary

Addresses

Primary practice location

360 Ridge Rd
Lyndhurst, NJ 07071-2212

Mailing address

703 Elm St Apt 1
Kearny, NJ 07032-3755
Phone (201) 875-0331

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
18KT00252800NJMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1659866283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ELM ST APT 1",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323755",
            "telephone_number": "201-875-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712212",
            "telephone_number": "201-888-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROY",
        "first_name": "DENISE",
        "middle_name": "LUPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00252800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.