Mr Angel Antonio Segarra, LPN in Jersey City, NJ - Massage Therapist

Mr Angel Antonio Segarra, LPN is a Massage Therapist based in Jersey City, New Jersey. Mr Angel Antonio Segarra is licensed to practice in New York (license number 020730) and his current practice location is 130 Woodlawn Ave Apt 1, Jersey City, New Jersey. He can be reached at his office (for appointments etc.) via phone at (917) 324-5533.

NPI number for Mr Angel Antonio Segarra is 1336866680 and his current mailing address is 130 Woodlawn Ave Apt 1, Jersey City, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336866680.

Contact Information

	Mr Angel Antonio Segarra, LPN
	130 Woodlawn Ave Apt 1, Jersey City, NJ 07305-3136
	(917) 324-5533
	Not Available

Provider's Profile

Full Name	Mr Angel Antonio Segarra
Gender	Male
Speciality	Massage Therapist
Location	130 Woodlawn Ave Apt 1, Jersey City, New Jersey
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1336866680
Provider Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022

Medical Identifiers

Medical identifiers for Mr Angel Antonio Segarra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336866680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	323481 (New York)	Secondary
225700000X	Massage Therapist	020730 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Angel Antonio Segarra is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Angel Antonio Segarra, LPN 130 Woodlawn Ave Apt 1, Jersey City, NJ 07305-3136 Ph: (917) 324-5533	Mr Angel Antonio Segarra, LPN 130 Woodlawn Ave Apt 1, Jersey City, NJ 07305-3136 Ph: (917) 324-5533

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Mr Angel Antonio Segarra, LPN - Massage Therapist in Jersey City, NJ