Individual provider Active NPI

Christy Dilullo

  • Massage Therapist
  • Ocean City, NJ
National Provider Identifier
1750034849
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT01399100 Issued in NJ
Practice address
701 West Ave Ste 202
Ocean City, NJ 08226-3770
Phone
(609) 399-4717
Fax
(609) 399-2561
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

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
18KT01399100NJMDMassage Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT01399100 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

701 West Ave Ste 202
Ocean City, NJ 08226-3770

Mailing address

701 West Ave Ste 202
Ocean City, NJ 08226-3770
Phone (609) 399-4717

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2022.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1750034849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WEST AVE STE 202",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263770",
            "telephone_number": "609-399-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WEST AVE STE 202",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263770",
            "telephone_number": "609-399-4717",
            "fax_number": "609-399-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILULLO",
        "first_name": "CHRISTY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01399100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.