MEDICARE: MRS. CAROLINE SOFIE BRINDZAK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	18KT01451500	NJ

General Provider Information

NPI Number	:	1669327813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROLINE SOFIE BRINDZAK

Provider Business Mailing Address
First Line	:	21 DEVON DR
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-3731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 E NORTHFIELD RD STE 1C
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-4892
Country	:	US
Telephone Number	:	973-765-7429
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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