Organization Active NPI

Sublime Therapy

  • Massage Therapist
  • Bergenfield, NJ
National Provider Identifier
1669952115
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SUBLIME THERAPY
Practice address
80 N Washington Ave
Unite L4
Bergenfield, NJ 07621
Phone
(201) 374-2532
Fax
(201) 603-6970
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Betty Soriano, LMT,MLD, CMMPNPI 1881069631
Title
Massage Therapist
Phone
(201) 374-2532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

80 N Washington Ave
Unite L4
Bergenfield, NJ 07621

Mailing address

80 N Washington Ave Unit L4
Bergenfield, NJ 07621-1771
Phone (201) 374-2532

Other names 1

  • Sublime Therapy Medical Massage Former legal business name

National Provider Directory

National Provider Directory

Locations

80 N Washington Ave
Unit L4
Bergenfield, NJ 07621
Phone (201) 314-2532

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1669952115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N WASHINGTON AVE UNIT L4",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211771",
            "telephone_number": "201-374-2532",
            "fax_number": "201-603-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N WASHINGTON AVE",
            "address_2": "UNITE L4",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "07621",
            "telephone_number": "201-374-2532",
            "fax_number": "201-603-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIME THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "201-374-2532",
        "authorized_official_credential": "LMT,MLD, CMMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sublime Therapy Medical Massage",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sublime Therapy Medical Massage",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.