Healthcare Provider Details

I. General information

NPI: 1639086499
Provider Name (Legal Business Name): LESTER J HOOKS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 MAIN ST
METUCHEN NJ
08840-1898
US

IV. Provider business mailing address

15 HYACINTH DR APT 3N
FORDS NJ
08863-2407
US

V. Phone/Fax

Practice location:
  • Phone: 732-201-4393
  • Fax:
Mailing address:
  • Phone: 732-589-6802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number18KT01024100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: