JEANETTE COSTA (NPI# 1376960377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376960377 |
| Entity Type | Individual |
| Full Name | JEANETTE COSTA |
| Credential | L.M.T |
| Practice Address |
400 Route 10 West Randolph NJ 07869 |
| Mailing Address |
606 Dorothy Ln Landing NJ 07850-1411 |
| Practice Telephone | 9739458790 |
| Mailing Telephone | 9739458790 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18KT00073300 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063676559 | Jeanette Marie Costa | Counselor | 1010 E Mcdowell Rd Ste 301, Phoenix, AZ 85006-2609 | 2008-07-14 |
| Street Address |
400 ROUTE 10 WEST |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275604985 | Martin Oxenhorn | Optometrist | 400 Route 10 West, Randolph, NJ 07869 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| 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 |
|---|---|---|---|---|
| 1285966341 | Wings Mobile Massage & Bodywork | Massage Therapist | 1191 N Main St, Suite 208, Randolph, MA 02368-2135 | 2010-01-31 |
| 1144692096 | Oksana Djus | Massage Therapist | 24 S Main St, Randolph, MA 02368-4821 | 2015-10-30 |
| 1023245990 | Yanira Castillo | Massage Therapist | 90 Pleasant St, Randolph, MA 02368-4174 | 2009-06-17 |
| 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.