Active NPI
Christian Agosto
- Massage Therapist
- Cherry Hill, NJ
National Provider Identifier
1275309007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18KT00715500
- Practice address
- 102 Browning LN Ste B2
Cherry Hill, NJ 08003-3195 - Phone
- (856) 724-4121
- Fax
- (856) 200-8004
- NPI assigned
- Dec 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18KT00715500 | NJ | Primary |
Addresses
Primary practice location
102 Browning LN Ste B2
Cherry Hill, NJ 08003-3195
Mailing address
102 Browning LN Ste B2
Cherry Hill, NJ 08003-3195
Phone (856) 724-4121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18KT00715500 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1275309007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BROWNING LN STE B2",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033195",
"telephone_number": "856-724-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BROWNING LN STE B2",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033195",
"telephone_number": "856-724-4121",
"fax_number": "856-200-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGOSTO",
"first_name": "CHRISTIAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT00715500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.