Individual provider Active NPI

Valentina Gran, CMT

  • Massage Therapist
  • Jersey City, NJ
National Provider Identifier
1851620108
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00148400 Issued in NJ
Practice address
16 Nunda Ave
Apt. 2
Jersey City, NJ 07304-1309
Phone
(973) 508-4956
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00148400 NJ Primary

Addresses

Primary practice location

16 Nunda Ave
Apt. 2
Jersey City, NJ 07304-1309

Mailing address

16 Nunda Ave
Apt. 2
Jersey City, NJ 07304-1309
Phone (973) 508-4956

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
18KT00148400NJMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1851620108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NUNDA AVE",
            "address_2": "APT. 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041309",
            "telephone_number": "973-508-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 NUNDA AVE",
            "address_2": "APT. 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041309",
            "telephone_number": "973-508-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAN",
        "first_name": "VALENTINA",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00148400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.