MADELYN BUSTAMANTE (NPI# 1518322320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518322320 |
| Entity Type | Individual |
| Full Name | MADELYN BUSTAMANTE |
| Credential | LMT |
| Practice Address |
205 Robin Rd Suite 118 Paramus NJ 07652-1449 |
| Practice Telephone | 2012251511 |
| Mailing Telephone | 2012251511 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18KT00402400 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
205 ROBIN RD SUITE 118 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073582367 | David Solowiejczyk | Pediatrics | 205 Robin Rd, Suite 100, Paramus, NJ 07652-1449 | 2006-03-17 |
| 1992369565 | Laurashley Castillo | Massage Therapist | 205 Robin Rd, Paramus, NJ 07652-1449 | 2019-04-29 |
| 1689145914 | Jacqueline Godoy | Massage Therapist | 205 Robin Rd, Paramus, NJ 07652-1449 | 2018-12-16 |
| 1659865210 | Diamantis Kyriakakis | Chiropractor | 205 Robin Rd, Paramus, NJ 07652-1449 | 2018-06-18 |
| 1124536867 | Danielle Marie Pretto | Massage Therapist | 205 Robin Rd, Paramus, NJ 07652-1449 | 2018-01-16 |
| 1922556281 | Gloria Roberts | Massage Therapist | 205 Robin Rd, Suite 118, Paramus, NJ 07652-1449 | 2016-09-15 |
| 1427506799 | Brandi O'rourke | Massage Therapist | 205 Robin Rd, Suite 118, Paramus, NJ 07652-1449 | 2016-09-15 |
| 1720447949 | Erica Rivera | Community Health Worker | 205 Robin Rd, Paramus, NJ 07652-1449 | 2016-02-16 |
| 1316302136 | Jodi Jackson | Massage Therapist | 205 Robin Rd, Paramus, NJ 07652-1449 | 2015-12-21 |
| 1063894251 | Center for Family Support, New Jersey, Inc | Day Training, Developmentally Disabled Services | 205 Robin Rd, Suite 122, Paramus, NJ 07652-1449 | 2015-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| 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 |
|---|---|---|---|---|
| 1871836544 | Jennifer Robin Weisenberg | Massage Therapist | 205 Robin Road Suite 118, Paramus Medical and Sports Rehabilitation Center, Paramus, NJ 07652 | 2013-04-01 |
| 1649530890 | Charisa Palo | Massage Therapist | 205 Robin Rd., Paramus, NJ 07652 | 2012-05-22 |
| 1376840413 | Nydia Arroyo | Massage Therapist | 205 Robin Road, Paramus, NJ 07652 | 2011-02-25 |
| 1205482825 | Nicole De Oliveira | Massage Therapist | 205 Robin Rd Ste 118, Paramus, NJ 07652-1424 | 2019-08-12 |
| 1992369565 | Laurashley Castillo | Massage Therapist | 205 Robin Rd, Paramus, NJ 07652-1449 | 2019-04-29 |
| 1689145914 | Jacqueline Godoy | Massage Therapist | 205 Robin Rd, Paramus, NJ 07652-1449 | 2018-12-16 |
| 1922582386 | Kimberly Robles | Massage Therapist | 205 Robin Rd Ste 118, Paramus, NJ 07652-1424 | 2018-09-21 |
| 1124536867 | Danielle Marie Pretto | Massage Therapist | 205 Robin Rd, Paramus, NJ 07652-1449 | 2018-01-16 |
| 1992213888 | Maria Ramos | Massage Therapist | 205 Robin Rd Ste 118, Paramus, NJ 07652-1424 | 2018-01-13 |
| 1477074177 | Erin Harvey | Massage Therapist | 205 Robin Rd Ste 118, Paramus, NJ 07652-1424 | 2017-07-03 |
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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.