GLENDOLIN GRANT (NPI# 1205377025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205377025 |
| Entity Type | Individual |
| Full Name | GLENDOLIN GRANT |
| Credential | MT |
| Practice Address |
105 Van Buren St Passaic NJ 07055 |
| Practice Telephone | 2017244870 |
| Mailing Telephone | 2017244870 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18KT00952700 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
105 VAN BUREN ST |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| 1427460369 | Kerry-ann Pagano | Registered Nurse | 58 Cedar Street, Passaic, NJ 07055 | 2014-05-27 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679939946 | Tatiana Pace | Massage Therapist | 180 Lexington Ave, Passaic, NJ 07055-6205 | 2016-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699562 | Nichole Elyse Echevarria | Massage Therapist | 184 Manhattan Ave, Teaneck, NJ 07666-6110 | 2020-11-07 |
| 1124629258 | Lisseth Fernandez | Massage Therapist | 87 E Spring Valley Ave, Maywood, NJ 07607-2122 | 2020-11-04 |
| 1316547052 | Prescott Veere Murphy Iv | Massage Therapist | 232 Longwood Dr, Manalapan, NJ 07726-3851 | 2020-10-30 |
| 1164022992 | Elise Warshavsky | Massage Therapist | 80 Pompton Ave Ste 304, Verona, NJ 07044-2913 | 2020-10-30 |
| 1841899556 | Mina Kwon | Massage Therapist | 191 Lakeview Ave, Leonia, NJ 07605-1541 | 2020-10-22 |
| 1174121016 | Paul Manzella | Massage Therapist | 18 Faner Rd, Midland Park, NJ 07432-1746 | 2020-10-13 |
| 1801494844 | Kelly Cannon | Massage Therapist | 83 Brokaw Blvd, Plainfield, NJ 07063-1067 | 2020-10-13 |
| 1659979896 | Maria Fernanda Zuniga | Massage Therapist | 612 Helena Ave, Cherry Hill, NJ 08002-2945 | 2020-10-10 |
| 1477150647 | Quienne White | Massage Therapist | 3150 Rte 22 Ste 6, Branchburg, NJ 08876-3595 | 2020-10-01 |
| 1124635545 | Michael Ciardulli Jr. | Massage Therapist | 174 Raab Ave, Bloomfield, NJ 07003-4521 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.