Active NPI
Edna Viviana Echeverry, LMT
- Massage Therapist
- Oradell, NJ
National Provider Identifier
1750103032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT00716700
- Practice address
- 297 Kinderkamack Rd Ste 206
Oradell, NJ 07649-1535 - Phone
- (201) 613-3863
- NPI assigned
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 18KT00716700 | NJ | Primary |
Addresses
Primary practice location
297 Kinderkamack Rd Ste 206
Oradell, NJ 07649-1535
Mailing address
19 Coolidge PL
Hawthorne, NJ 07506-2601
Phone (201) 613-3863
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 |
|---|---|---|---|
| 18KT00716700 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1750103032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 COOLIDGE PL",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075062601",
"telephone_number": "201-613-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 KINDERKAMACK RD STE 206",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491535",
"telephone_number": "201-613-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVERRY",
"first_name": "EDNA",
"middle_name": "VIVIANA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT00716700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oradell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.