Individual provider Active NPI

XI Zhao, MASSAGE & BODYWORK

  • Massage Therapist
  • East Brunswick, NJ
National Provider Identifier
1720520364
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00001700 Issued in NJ
Practice address
646 Route 18 Ste 102
East Brunswick, NJ 08816-3722
Phone
(908) 236-9499
NPI assigned
Nov 14, 2016
Last updated
Nov 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00001700 NJ Primary

Addresses

Primary practice location

646 Route 18 Ste 102
East Brunswick, NJ 08816-3722

Mailing address

14 Wayside LN
Lebanon, NJ 08833-4354
Phone (908) 392-2292

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

LicenseStateTypeSpecialty
18KT00001700NJMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1720520364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WAYSIDE LN",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334354",
            "telephone_number": "908-392-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 ROUTE 18 STE 102",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163722",
            "telephone_number": "908-236-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "XI",
        "name_prefix": "Mr.",
        "credential": "MASSAGE & BODYWORK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00001700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.