Active NPI
Kintan Maura Yunus
- Massage Therapist
- Montvale, NJ
National Provider Identifier
1700584869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT00576600
- Practice address
- 221 West Grand Avenue
Suite 20
Montvale, NJ 07645 - Phone
- (347) 301-5003
- NPI assigned
- Feb 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18KT00576600 | NJ | Primary |
Addresses
Primary practice location
221 West Grand Avenue
Suite 20
Montvale, NJ 07645
Mailing address
86 Temple St # 2
Harrison, NY 10528-2619
Phone (347) 301-5003
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18KT00576600 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1700584869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 TEMPLE ST # 2",
"city": "HARRISON",
"state": "NY",
"postal_code": "105282619",
"telephone_number": "347-301-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 WEST GRAND AVENUE",
"address_2": "SUITE 20",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "07645",
"telephone_number": "347-301-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUNUS",
"first_name": "KINTAN",
"middle_name": "MAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-17",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT00576600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.