Edgard Souza Dossantos, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00116200 Issued in NJ

Practice address

135 Union Ave
Belleville, NJ 07109

Phone

(973) 873-8322

NPI assigned

Dec 18, 2013

Last updated

Dec 27, 2013By the provider in NPPES

Sex

Male

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": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1710308614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 UNION AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-873-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 UNION AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-873-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSANTOS",
        "first_name": "EDGARD",
        "middle_name": "SOUZA",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00116200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph J. Dimaio, D.C.
• John Kopf Donahue, MD, MPH
• Donald J. Beggs, MD PA
• David Doobin, MD
• Thomas Francis Dorrity Jr., O.D.
• Tiffany Unique Dove, FNP
• Dr. Nesochi LLC
• Drift Transport LLC
• Drug Fair Group, Inc. (Drug Fair of Belleville 49)
• Eichler Surgeye Center (Eye Institute of Essex Surgeye Center)

• Massage Therapist in Belleville, NJ
• Providers in Belleville, 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 Dec 27, 2013; 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.