1. Home
  2. Directory
  3. New Jersey
  4. Berlin
  5. Massage Therapist
  6. NPI Profile

JACK BRETT PASSARELLA LMT
NPI 1497279376
Massage Therapist in Berlin, NJ

Active since August 01, 2017
12 W TAUNTON AVE, BERLIN, NJ 08009(856) 768-6444(856) 768-6412 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Aug 1, 2017 (2 updates tracked since 2017).

About Jack Brett Passarella Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK BRETT PASSARELLA LMT (NPI 1497279376) is an individual massage therapist in Berlin, New Jersey, licensed in New Jersey (18KT00278700) and active in the NPI registry since August 2017. He maintains a secondary practice location in Haddon Township.

NPPES Registry Identity

NPI1497279376
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJACK BRETT PASSARELLACredential: LMT
Location Address12 W TAUNTON AVEBerlin, NJ 08009-1442
Mailing Address420 Chestnut StAtco, NJ 08004-2127 · (856) 767-9109 · Fax (856) 767-9109
Phone(856) 768-6444
Fax(856) 768-6412
Sole ProprietorYes
Enumeration DateAugust 1, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1497279376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NJ · 18KT00278700
Definition

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.

12 W TAUNTON AVE, Berlin, NJ 08009
Open in Google Maps ↗

Secondary Practice Location 1

Location 1332 Haddon AveHaddon Township, NJ 08108-2833 · Phone (609) 707-1096 · Fax (856) 768-6412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Passarella's NPI number?

The NPI number for Jack Passarella is 1497279376. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is Jack Passarella located?

Jack Passarella practices at 12 W Taunton Ave, Berlin, NJ 08009. The listed phone number is (856) 768-6444.

What is Jack Passarella's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jack Passarella was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.