Giovanna Baratto

Individual provider Active NPI Massage Therapist · Madison, NJ

NPI 1780352500 · NPPES record last updated Sep 6, 2021

Key facts

NPI
1780352500
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
18KT01290600 (NJ)
Practice address
36 Kinney St Apt 4
Madison, NJ 07940-1556
Phone
(973) 615-4635
NPI assigned
Sep 6, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18KT01290600NJMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT01290600 NJ Yes

Addresses

Primary practice location

36 Kinney St Apt 4
Madison, NJ 07940-1556

Mailing address

36 Kinney St Apt 4
Madison, NJ 07940-1556
Phone (973) 615-4635

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 6, 2021.

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1780352500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KINNEY ST APT 4",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401556",
            "telephone_number": "973-615-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 KINNEY ST APT 4",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401556",
            "telephone_number": "973-615-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATTO",
        "first_name": "GIOVANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01290600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

All providers in Madison, NJ · Massage Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.