MS. DOLLY DE JESUS LMT
NPI 1972367712
Massage Therapist in New York, NY

Q: What is Dolly De Jesus's NPI number?

The NPI number for Dolly De Jesus is 1972367712. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Q: What is Dolly De Jesus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dolly De Jesus was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2024PECOS Enrolled

525 W 42ND ST, NEW YORK, NY 10036(212) 473-3689 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Dolly De Jesus Lmt NPPES

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

MS. DOLLY DE JESUS LMT (NPI 1972367712) is an individual massage therapist in New York, New York, licensed in New York (031283-02) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972367712

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMS. DOLLY DE JESUSCredential: LMT

Location Address525 W 42ND STNew York, NY 10036-6205

Mailing Address25 Morgan StBergenfield, NJ 07621-3514 · (646) 229-6620

Phone(212) 473-3689

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 12, 2024

NPPES CertifiedFebruary 12, 2024

✔ NPI 1972367712 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 NY · 031283-02

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.

525 W 42ND ST, New York, NY 10036

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Dolly De Jesus Lmt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163934589

PECOS Enrollment IDI20250623001639

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BIDUR BISTA

Massage Therapist