Individual provider Active NPI

Breyonna Martinez Jones

  • Massage Therapist
  • Franklin Lakes, NJ
National Provider Identifier
1740941210
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT01417100 Issued in NJ
Practice address
834 Ewing Ave
Franklin Lakes, NJ 07417-2910
Phone
(215) 347-0715
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MSG013798 PA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 18KT01417100 NJ Primary

Addresses

Primary practice location

834 Ewing Ave
Franklin Lakes, NJ 07417-2910

Mailing address

834 Ewing Ave
Franklin Lakes, NJ 07417-2910
Phone (215) 347-0715

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
18KT01417100NJMDMassage Therapist
MSG013798PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1740941210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 EWING AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172910",
            "telephone_number": "215-347-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 EWING AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172910",
            "telephone_number": "215-347-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ JONES",
        "first_name": "BREYONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG013798",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01417100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.