Individual provider Active NPI

Magdaleny D. Luna, PT

  • Massage Therapist
  • Summit, NJ
National Provider Identifier
1942695465
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT01429600 Issued in NJ
Practice address
777 Springfield Ave Apt 11
Summit, NJ 07901-2329
Phone
(908) 347-6484
Fax
(732) 545-2880
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00308700 NJ
Massage Therapist 225700000X 18KT01429600 NJ Primary

Addresses

Primary practice location

777 Springfield Ave Apt 11
Summit, NJ 07901-2329

Mailing address

1527 State Route 27
Suite 1100
Somerset, NJ 08873-3979
Phone (732) 545-7474

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
40QB00308700NJMDPhysical Therapy Assistant
18KT01429600NJMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cords of Love LLC Massage Therapist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1942695465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 STATE ROUTE 27",
            "address_2": "SUITE 1100",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733979",
            "telephone_number": "732-545-7474",
            "fax_number": "732-545-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SPRINGFIELD AVE APT 11",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012329",
            "telephone_number": "908-347-6484",
            "fax_number": "732-545-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "MAGDALENY",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00308700",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01429600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.