JAMAL HOGAN SR. (NPI# 1306263108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306263108 |
| Entity Type | Individual |
| Full Name | JAMAL HOGAN SR. |
| Credential | IDMT |
| Practice Address |
3322 Charles Blvd 108th Crg Mcguire Afb NJ 08641 |
| Mailing Address |
253 Montclair Ave Fl 2 Vauxhall NJ 07088-1316 |
| Practice Telephone | 6097540367 |
| Mailing Telephone | 9735088169 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
3322 CHARLES BLVD 108TH CRG |
| City | MCGUIRE AFB |
| State | NJ |
| Zip Code | 08641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497108856 | Prince Philip | Internal Medicine | Jbmdl, 3458 Neely Road, Apo, AA 08641 | 2016-07-20 |
| 1932517851 | Brittany Russell | Counselor | 3458 Neeley Rd, Jb Mcguire-dix-lakehurst, Wrightstown, NJ 08641 | 2014-07-23 |
| 1659505030 | Kimberley Dawn Bock Tabor | Military Health Care Provider | 3453 Neely Rd, Mcguire Afb, NJ 08641 | 2009-05-13 |
| 1780835686 | Jeffrey Matthew Butch | Nurse Practitioner | 87th Medical Group, 3458 Neely Road, Jbmdl, NJ 08641 | 2008-10-09 |
| 1376736041 | Jennifer Bench | Dental Hygienist | 305th Dental Squadron, Bldg. 2417 Mcguire Blvd., Mcguire Afb, NJ 08641 | 2007-08-24 |
| 1447383765 | Nikolay Sky | Dentist | Mcguire Air Force Base, New Hanover, NJ 08641 | 2007-03-14 |
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1336234285 | Barbara D Broadt | Dietitian, Registered | 305 Medical Group 3458 Neely Road, Mcguire Afb, NJ 08641 | 2006-10-04 |
| 1649378043 | Judith Anne Frankel | Psychologist | 3458 Neely Rd., 305th Medical Group/sgomh, Mcguire Afb, NJ 08641 | 2006-09-20 |
| 1649377987 | Brenda Pollack | Social Worker | 3854 Neely Road, Mcguire Afb, NJ 08641 | 2006-09-20 |
| Find all providers in zip 08641 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659505030 | Kimberley Dawn Bock Tabor | Military Health Care Provider | 3453 Neely Rd, Mcguire Afb, NJ 08641 | 2009-05-13 |
| 1114259876 | Gary Alan Friedman | Military Health Care Provider | 3458 Neely Rd, Mcguire Afb, NJ 08641 | 2010-02-05 |
| 1538399068 | Michael Joseph Steiner | Military Health Care Provider | 3458 Neely Road, Room 1c15 Attn: Smsgt Steiner, Mcguire Afb, NJ 08641 | 2009-07-17 |
| 1790912467 | Sarah Jane Laney | Military Health Care Provider | 3458 Neely Road, Mcguire Afb, NJ 08641 | 2009-06-19 |
| 1508000225 | Nicole Pennock | Military Health Care Provider | 3458 Neely Rd, Mcguire Afb, NJ 08641 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528494457 | Melissa A Wright | Military Health Care Provider | 4259d E George St, Trenton, NJ 08641-1275 | 2013-09-24 |
| 1346597994 | Terrence Asher Kneapler | Military Health Care Provider | 125 Adams Ave, Browns Mills, NJ 08015-3831 | 2012-08-13 |
| 1851646020 | Kshena Fuentes | Military Health Care Provider | 210 Canal Cir, Lumberton, NJ 08048-3108 | 2012-07-13 |
| 1871884890 | Renee Nichole Snavely | Military Health Care Provider | 3903a Spaatz Dr, Trenton, NJ 08641-1629 | 2011-04-25 |
| 1043440001 | Tamilynn Reese | Military Health Care Provider | 54 Village Dr, Barnegat, NJ 08005-1671 | 2009-07-23 |
| 1457581704 | Jesus Octavio Amador | Military Health Care Provider | 2305 Saxony Dr, Mount Laurel, NJ 08054-6806 | 2009-07-21 |
| 1841428174 | Joseph Nunzio Coyle | Military Health Care Provider | 5651 Texas Ave., Fort Dix, NJ 08640 | 2009-06-25 |
| 1760617088 | Matthew Thompson | Military Health Care Provider | 84 Dawn Dr, Mount Holly, NJ 08060-1905 | 2009-05-18 |
| 1497989081 | Colby J Bowers | Military Health Care Provider | 5656 Texas Ave, Fort Dix, NJ 08640-5403 | 2009-05-11 |
| 1669022125 | Kevin Eustace | Military Health Care Provider | 1 Essex Ln, Old Bridge, NJ 08857-1406 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
| City | MCGUIRE AFB |
| Zip Code | 08641 |
Please comment or provide details below to improve the information on JAMAL HOGAN SR..
| 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.