Gary A Agia, D.O.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MB03744500 Issued in NJ

Practice address

1A Regulus Drive
Turnersville, NJ 08012

Phone

(856) 553-6904

Fax

(856) 589-3913

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kennedy Medical Group Practice, P.C.

  dba Jefferson Health

  • Family Medicine Physician
  • Voorhees, NJ
  • NPI 1952726796
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1154408516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A REGULUS DRIVE",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-553-6904",
            "fax_number": "856-589-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A REGULUS DRIVE",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-553-6904",
            "fax_number": "856-589-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIA",
        "first_name": "GARY",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB03744500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0624705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advance Therapy Associates, Inc.
• Advanced Global Pain Specialists, LLC
• Advocare , LLC (Advocare Nutrition & Diabetes Center)
• Advocare, LLC (Advocare South Jersey Orthopedic Associates (DME))
• Advocare, LLC (Advocare South Jersey Orthopedic Associates)
• Saira N Ahmed, MD
• Brett Albert, M.S., L.P.C.
• Ebere Lucky Alexander, M.D
• Allergy & Asthma Care Center, P.a.
• Altman and Gerety Family Medical

• Pulmonary Disease Physician in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.