=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891647301
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NAVJEET JAMMU
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2026
-----------------------------------------------------
Last Update Date | 02/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4875 SUNRISE HWY STE 302
-----------------------------------------------------
City | BOHEMIA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11716-4630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-343-4184
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 ARBOR LN
-----------------------------------------------------
City | HICKSVILLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11801-6101
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-633-3493
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 029898-01
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------