TOMAS M BAGON JR. (NPI# 1164426540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164426540 |
| Entity Type | Individual |
| Full Name | TOMAS M BAGON JR. |
| Credential | M.D. |
| Practice Address |
29 E 29th St Bayonne NJ 07002-4654 |
| Mailing Address |
Po Box 464 Rutherford NJ 07070-0464 |
| Practice Telephone | 2018585000 |
| Mailing Telephone | 2018042800 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA 031747 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3935507 | 05 |
| Street Address |
29 E 29TH ST |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820588 | Avenue E Anesthesia Associates | Specialist | 29 E 29th St, Bayonne, NJ 07002-4654 | 2005-06-13 |
| 1770180804 | Bcp Pharmacy LLC | Pharmacy | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-10-01 |
| 1285250274 | Neil Alan Bobenhouse | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-25 |
| 1801412044 | Pak Lik Patrick Yue | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-23 |
| 1609492354 | Parth Patel | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-18 |
| 1053936104 | Mahin Amanullah | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-15 |
| 1962027177 | Khadijah Bilal | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4695 | 2020-06-12 |
| 1669097960 | Neil Sondhi | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-11 |
| 1104441930 | Vashti Wanda Ramphal | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-08 |
| 1669096574 | Andrew Shehata | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467985960 | Joseph Hromy | Specialist | 660 Kennedy Blvd, Bayonne, NJ 07002-2711 | 2017-04-11 |
| 1285049700 | Elia Iris Tarrio | Specialist | 379 Avenue E, #1, Bayonne, NJ 07002-4640 | 2014-06-23 |
| 1740521483 | Renee Eva Pena | Specialist | 22c W 34th St, Bayonne, NJ 07002-8688 | 2013-03-05 |
| 1659583227 | Bayonne Dermatology Associates | Specialist | 844 Ave C, Bayonne, NJ 07002 | 2007-05-04 |
| 1326102609 | Liliya Besedina | Specialist | 844 Avenue C, Bayonne, NJ 07002-2982 | 2006-12-20 |
| 1356457246 | James A Charles | Specialist | 956 Kennedy Blvd, Bayonne, NJ 07002-1924 | 2006-08-22 |
| 1104820588 | Avenue E Anesthesia Associates | Specialist | 29 E 29th St, Bayonne, NJ 07002-4654 | 2005-06-13 |
| 1518496843 | Keith Gurland, M.d. | Specialist | 521 Broadway, Bayonne, NJ 07002 | 2017-06-09 |
| 1881097046 | Hudson Pro Orthopaedics and Sports Medicine | Specialist | 29 E 29th St, Main Floor, Bayonne, NJ 07002-4654 | 2014-10-02 |
| 1457780421 | Beredo Physical Therapy and Wellness, LLC | Specialist | 267 Broadway, Bayonne, NJ 07002-2519 | 2013-11-11 |
| Find all providers in BAYONNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.