Jack Brett Passarella, LMT is a
Massage Therapist based in Berlin, New Jersey. Jack Brett Passarella is licensed to practice in New Jersey (license number 18KT00278700) and his current practice location is
12 W Taunton Ave, Berlin, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 768-6444.
NPI number for Jack Brett Passarella is 1497279376 and his current mailing address is 420 Chestnut St, Atco, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497279376.
Healthcare Provider's Profile
Full Name | Jack Brett Passarella |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 12 W Taunton Ave, Berlin, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497279376
- Provider Enumeration Date: 08/01/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Jack Brett Passarella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497279376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 18KT00278700 (New Jersey) | 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. Jack Brett Passarella 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 |
Jack Brett Passarella, LMT 420 Chestnut St, Atco, NJ 08004-2127 Ph: (856) 767-9109 | Jack Brett Passarella, LMT 12 W Taunton Ave, Berlin, NJ 08009-1442 Ph: (856) 768-6444 |
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