SANDRA DEZENDORF (NPI# 1194155796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194155796 |
| Entity Type | Individual |
| Full Name | SANDRA DEZENDORF |
| Practice Address |
40 Rieder Rd Edison NJ 08817-2805 |
| Practice Telephone | 8482103946 |
| Mailing Telephone | 8482103946 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18KT00433700 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
40 RIEDER RD |
| City | EDISON |
| State | NJ |
| Zip Code | 08817-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862750 | Ling Zhu | Pharmacist | 2124 A State Route 27, Edison, NJ 08817 | 2020-08-18 |
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1518582956 | Ismile Dental Care of Edison | Dentist | 1914 B Route 27, Edison, NJ 08817 | 2020-06-11 |
| 1437704905 | Ethel Diagnostic Laboratory | Pathology | 4 Ethel Road, Suite 402a, Edison, NJ 08817 | 2019-08-01 |
| 1316509250 | Hyun Sang Lee | Optometrist | 2210 Route 27 North, Edison, NJ 08817 | 2019-07-01 |
| 1578022851 | Labor of Love Healthcare LLC | Nursing Care | 1967 Lincoln Highway, Suite 33, Edison, NJ 08817 | 2019-03-18 |
| 1932664349 | Marlene Bott | Occupational Therapist | 2035 Lincoln Highway, Edison Square West, Edison, NJ 08817 | 2019-02-11 |
| 1174092928 | Neil Bakhru | Occupational Therapist | 802 Merrywood Drive, Edison, NJ 08817 | 2018-11-21 |
| 1164912697 | Milton Perez | Driver | 14m Reading Rd, Edison, NJ 08817 | 2018-05-10 |
| 1366931891 | Roseanna Perez | Recreation Therapist | 14m Reading Rd., Edison, NJ 08817 | 2018-05-10 |
| Find all providers in zip 08817 | ||||
| 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 |
|---|---|---|---|---|
| 1083815252 | David J Hanson | Massage Therapist | 184 Myra Pl, Edison, NJ 08817-4224 | 2007-05-29 |
| 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 | ||||
Please comment or provide details below to improve the information on SANDRA DEZENDORF.
| 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.