Individual provider Active NPI

John J Agli

  • Massage Therapist
  • Williamstown, NJ
National Provider Identifier
1962899682
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00040400 Issued in NJ
Practice address
1054 Baywood Dr
Williamstown, NJ 08094-2805
Phone
(856) 265-1158
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
Yes

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
18KT00040400NJMDMassage Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00040400 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

1054 Baywood Dr
Williamstown, NJ 08094-2805

Mailing address

1054 Baywood Dr
Williamstown, NJ 08094-2805
Phone (856) 265-1158

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2015.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1962899682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 BAYWOOD DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942805",
            "telephone_number": "856-265-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 BAYWOOD DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942805",
            "telephone_number": "856-265-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGLI",
        "first_name": "JOHN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00040400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.